Individual
KYLE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6958 NEBRASKA AVE, FORT LEONARD WOOD, MO 65473-1618
(573) 596-0408
Mailing address
US ARMY DENTAL ACTIVITY, 6958 NEBRASKA AVE, FORT LEONARD WOOD, MO 65473
(573) 596-0364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010024
AZ
Other
Enumeration date
05/24/2018
Last updated
10/06/2021
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