Individual
DR. MICHAEL B LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5839 E KINGS HWY, SHREVEPORT, LA 71105-4300
(318) 868-4072
Mailing address
8825 CRESWELL RD, SHREVEPORT, LA 71106-6213
(318) 865-5716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3565
LA
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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