Organization
ALEXIS ROAD FAMILY DENTAL, AMBER R. LEER DDS, LLC
Active
Other names
Alexis Road Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TABATHA PIERCE (OFFICE MANAGER)
(419) 471-1208
Entity
Organization
Contact information
Practice address
4640 W ALEXIS RD STE 200, TOLEDO, OH 43623-1182
(419) 471-1208
Mailing address
4640 W ALEXIS RD STE 200, TOLEDO, OH 43623-1182
(419) 471-1208
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346867132
NIP
OH
Enumeration date
07/24/2020
Last updated
07/29/2020
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