Individual
ERIC SEAN LEITHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
8590 BOWDEN ST, DOUGLASVILLE, GA 30134-4525
(770) 949-1680
Mailing address
45 HANOVER DR, VILLA RICA, GA 30180-7200
(770) 949-1680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12185
GA
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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