Organization
LEAH THOMAS DDS LLC
Active
Other names
Avenue Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAH THOMAS DDS (DDS/OWNER)
(219) 614-6000
Entity
Organization
Contact information
Practice address
320 E COMMERCIAL AVE, LOWELL, IN 46356-1780
(219) 690-8866
Mailing address
12372 WOODMAR PL, CEDAR LAKE, IN 46303-8060
(219) 614-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
03/11/2023
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