Individual
ETHAN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 ENTERPRISE CV, JONESBORO, AR 72401-9271
(870) 761-3141
Mailing address
2800 ENTERPRISE CV, JONESBORO, AR 72401-9271
(870) 761-3141
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4489
AR
Other
Enumeration date
02/26/2020
Last updated
02/22/2022
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