Individual
DR. MAURRY LEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1818 MARKET ST, SUITE 100, PHILADELPHIA, PA 19103-3638
(215) 567-2666
Mailing address
1818 MARKET STREET, SUITE 100, PHILADELPHIA, PA 19103
(215) 567-2666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS017950
PA
1223G0001X
General Practice Dentistry
DS035637
PA
1223P0300X
Periodontics
Primary
DS02736L
PA
Other
Enumeration date
01/31/2007
Last updated
09/11/2025
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