Individual
DR. LEAH M VIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6700 SOUTHSIDE DR, LOUISVILLE, KY 40214-2822
(502) 368-9540
Mailing address
6700 SOUTHSIDE DR, LOUISVILLE, KY 40214-2822
(502) 368-9540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10224
KY
122300000X
Dentist
12013069A
IN
1223G0001X
General Practice Dentistry
10224
KY
1223G0001X
General Practice Dentistry
12013069A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100610480
—
KY
Enumeration date
10/22/2018
Last updated
08/12/2020
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