Individual
SARAH MARKS LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4986 CALVIN ST, NORTH CHARLESTON, SC 29418-5902
(843) 408-4808
Mailing address
4986 CALVIN ST, NORTH CHARLESTON, SC 29418-5902
(843) 408-4808
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
30024572
OH
1223D0004X
Dental Anesthesiology
RES.3304
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OH
Enumeration date
07/16/2012
Last updated
06/21/2021
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