Individual
DR. LEONARD PACKTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9410A WILLEO RD, ROSWELL, GA 30075-4717
(770) 993-2657
(770) 998-2512
Mailing address
9410A WILLEO RD, ROSWELL, GA 30075-4717
(770) 993-2657
(770) 998-2512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0009462
GA
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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