Individual
DR. JEFFREY L LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1000 SOUTHPARK BLVD, SUITE C, WINSTON SALEM, NC 27127-5011
(336) 788-5073
Mailing address
1000 SOUTHPARK BLVD, SUITE C, WINSTON SALEM, NC 27127-5011
(336) 788-5073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC5509
NC
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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