Organization
LTH DENTAL GROUP 1 PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN A LEATH DDS (CEO)
(586) 365-9451
Entity
Organization
Contact information
Practice address
192 W. HIGHLAND RD., HIGHLAND, MI 48357
(586) 365-9451
Mailing address
5880 STONEHAVEN BLVD, ROCHESTER, MI 48306-4941
(586) 365-9451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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