Individual
DR. TIMOTHY DALE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
277 E RAILROAD AVE, DENHAM SPRINGS, LA 70726-3407
(225) 791-0777
(225) 791-0775
Mailing address
30656 JOHN DR, DENHAM SPRINGS, LA 70726-2125
(225) 892-1102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5806
LA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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