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Individual
DR. MAURRY LEAS
Active
Individual
DR. MAURRY LEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS017950
PA
1223G0001X
General Practice Dentistry
DS035637
PA
1223P0300X
Periodontics
Primary
DS02736L
PA
Other
Enumeration date
01/31/2007
Last updated
09/11/2025
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