Individual
DR. BRIAN LEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1625 N. MAIN ST., SUITE 201, FUQUAY-VARINA, NC 27526
(919) 557-7799
(919) 557-6677
Mailing address
8470 FALLS OF NEUSE RD., SUITE 202, RALEIGH, NC 27615
(919) 977-0627
(919) 977-4079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
NC9839
NC
1223G0001X
General Practice Dentistry
Primary
9839
NC
Other
Enumeration date
03/27/2013
Last updated
01/05/2016
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