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1659691004
JUSTIN A LEATH
FRASER, MI
NPI
1659691004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901020209)
Enumeration Date
2010-06-08
Last Update Date
2010-06-08
Business Address
Dr. JUSTIN A LEATH D.D.S.
15843 WHITE OAK
FRASER, MI 48026-5200
Phone number: 586-365-9451
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Mailing Address
Dr. JUSTIN A LEATH D.D.S.
15843 WHITE OAK
FRASER, MI 48026-5200
Phone number: 586-365-9451
Copy
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