Individual
LEROY M GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1100 MORSE RD, COLUMBUS, OH 43229-6384
(614) 888-2777
Mailing address
1100 MORSE RD, SECOND FLOOR, COLUMBUS, OH 43229-6384
(614) 888-2777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16750
OH
Other
Enumeration date
05/08/2007
Last updated
05/21/2015
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