Individual
DR. LEONARD I NUNNALLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11531 NUCKOLS RD, SUITE B, GLEN ALLEN, VA 23059-5673
(804) 747-0908
(804) 747-1057
Mailing address
11531 NUCKOLS RD, SUITE B, GLEN ALLEN, VA 23059-5673
(804) 747-0908
(804) 747-1057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411817
VA
Other
Enumeration date
06/06/2007
Last updated
12/19/2011
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