Organization
LEAH FAX DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAH FAX DDS (GENERAL DENTIST)
(608) 438-9468
Entity
Organization
Contact information
Practice address
3739 GRAND BLVD, BROOKFIELD, IL 60513-1623
(608) 438-9468
Mailing address
735 N CATHERINE AVE, LA GRANGE PARK, IL 60526-1504
(608) 438-9468
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/31/2026
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