Organization
ERIC S LEITHNER DMD PC
Active
Other names
West Georgia Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA V BAGLEY (MANAGER)
(770) 949-1680
Entity
Organization
Contact information
Practice address
8590 BOWDEN STREET, DOUGLASVILLE, GA 30134
(770) 949-1680
(770) 949-0707
Mailing address
8590 BOWDEN STREET, DOUGLASVILLE, GA 30134
(770) 949-1680
(770) 949-0707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12185
GA
1223G0001X
General Practice Dentistry
6770
GA
1223G0001X
General Practice Dentistry
7704
GA
Other
Enumeration date
08/21/2006
Last updated
07/14/2008
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