Individual
DR. DANIEL LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4986 CALVIN ST, NORTH CHARLESTON, SC 29418-5902
(843) 408-4808
Mailing address
4986 CALVIN ST, NORTH CHARLESTON, SC 29418-5902
(843) 408-4808
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3211
OH
Other
Enumeration date
06/27/2012
Last updated
07/27/2021
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