Individual
DR. STEPHEN ROBERT LEITGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7324 BUSH LAKE DR, BLOOMINGTON, MN 55438-1682
(952) 303-3672
Mailing address
7324 BUSH LAKE DR, BLOOMINGTON, MN 55438-1682
(952) 303-3672
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9940
MN
Other
Enumeration date
02/12/2007
Last updated
08/28/2007
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