Individual
DR. DAVID A LEATHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2057 PULASKI HWY, SUITE #2, NORTH EAST, MD 21901-3744
(410) 287-2323
(410) 287-2865
Mailing address
2057 PULASKI HWY, SUITE #2, NORTH EAST, MD 21901-3744
(410) 287-2323
(410) 287-2865
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MD6159
MD
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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