Individual
BENJAMIN JOSEPH LEITHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2355 LAKEVIEW DR, BEAVERCREEK, OH 45431-3695
(937) 427-1195
Mailing address
2214 SULKY CT, BEAVERCREEK, OH 45434-5677
(937) 307-2301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026922
OH
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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