# PRISCILLA M LEARY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346875978
- **Gender:** F
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 36824 | TX | Yes |
| 1223G0001X | General Practice Dentistry | DD5511 | NM | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | TD-00-121 | NM | — |

## Other

- **Enumeration date:** 03/04/2020
- **Last updated:** 08/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1346875978 | — | NM |
| 05 | — | 1346875978 | — | TX |