Wood, Leatha Jean

Wood, Leatha Jean is an sole proprietor health care provider with primary practice located at 17064 Robbins Rd , Grand Haven MI 49417-2741. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Wood, Leatha Jean can be contacted via phone (616) 847-0900.

Contact Information

Primary practice address
17064 Robbins Rd Grand Haven MI 49417-2741
Fax: (616) 847-0917
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 00015283 Michigan

Profile Details

NPI number 1033252119
LBN Legal business name Wood, Leatha Jean
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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