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Organization
GREG A LEISLE DDS INC
Active
Organization
GREG A LEISLE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY L WILSON (OFFICE MANAGER)
(559) 432-6653
Entity
Organization
Contact information
Practice address
6245 N FRESNO ST, #103, FRESNO, CA 93710
(559) 432-6653
(559) 432-8403
Mailing address
6245 N FRESNO ST, #103, FRESNO, CA 93710
(559) 432-6653
(559) 432-8403
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24823
CA
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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