Individual
DANIEL RICHARD LEAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11301 POLO PLACE STE C, MIDLOTHIAN, VA 23113-4803
(804) 794-3966
Mailing address
11301 POLO PLACE STE C, MIDLOTHIAN, VA 23113-4803
(804) 794-3966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004885
VA
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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