Individual
DR. THERALD LUND LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1268 E MAIN ST, AUBURN, WA 98002-5748
(253) 939-2444
Mailing address
15321 SE 344TH ST, AUBURN, WA 98092-3959
(253) 939-3326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3830
WA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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