Individual
LEIGHTON THOMAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3251 COORS BLVD SW STE E1, ALBUQUERQUE, NM 87121-5203
(505) 208-7565
(505) 318-1732
Mailing address
555 W BENJAMIN HOLT DR, BUILDING B, STOCKTON, CA 95207-3839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
33797
TX
122300000X
Dentist
56404
CA
122300000X
Dentist
92160589921
UT
122300000X
Dentist
9973
OR
122300000X
Dentist
Primary
DD4504
NM
122300000X
Dentist
DS043347
PA
1223G0001X
General Practice Dentistry
1256
HI
Other
Enumeration date
07/17/2006
Last updated
09/29/2022
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