Individual
DR. BRIAN K. LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
25376 STATE HIGHWAY 39, SUITE 201, SHELL KNOB, MO 65747-7343
(417) 858-6527
(417) 858-2570
Mailing address
25376 STATE HIGHWAY 39 STE 201, P.O. BOX 226, SHELL KNOB, MO 65747-7900
(417) 858-6527
(417) 858-2570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3452
AR
Other
Enumeration date
05/04/2007
Last updated
06/10/2010
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