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1790747061
LEONARD PACKTOR
ROSWELL, GA
NPI
1790747061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 0009462)
Enumeration Date
2006-04-03
Last Update Date
2007-07-08
Business Address
Dr. LEONARD PACKTOR dds
9410A WILLEO RD
ROSWELL, GA 30075-4717
Phone number: 770-993-2657
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Mailing Address
Dr. LEONARD PACKTOR dds
9410A WILLEO RD
ROSWELL, GA 30075-4717
Phone number: 770-993-2657
Copy
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