NPI | 1982750261 |
---|---|
Other Name | J. WAYNE LEONARD, D.M.D., P.A. |
Entity Type | Organization |
Authorized Contact | JAMES WAYNE LEONARD President 904-724-7190 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0014607) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2008-07-01 |