Individual
LEIGHTON EUGENE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20973 RIVERSIDE DRIVE, GRUNDY, VA 24614-0937
(276) 935-4983
(276) 935-4983
Mailing address
P O BOX 937, GRUNDY, VA 24614-0937
(276) 935-4983
(276) 935-4983
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401074334
VA
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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