Organization
LEACH FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LEACH DDS (DOCTOR)
(225) 791-0777
Entity
Organization
Contact information
Practice address
277 E RAILROAD AVE, DENHAM SPRINGS, LA 70726-3443
(225) 791-0777
Mailing address
277 E RAILROAD AVE, DENHAM SPRINGS, LA 70726-3443
(225) 791-0777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972713857
—
LA
Enumeration date
11/08/2022
Last updated
11/08/2022
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