# BALDWIN CITY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baldwin City Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114744018
- **Authorized official:** DR. CHRISTOPHER J. LEISZLER DDS (OWNER)
- **Authorized official phone:** (913) 568-8868

## Contact information

- **Practice address:** 414 AMES ST, BALDWIN CITY, KS 66006-3099
- **Practice address phone:** (785) 594-9834
- **Mailing address:** 414 AMES ST, BALDWIN CITY, KS 66006-3099
- **Mailing address phone:** (785) 594-9834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2024
- **Last updated:** 09/23/2024