Individual
DR. MICHAEL ROBERT LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
(419) 756-1110
Mailing address
630 LEXINGTON AVE, MANSFIELD, OH 44907-1500
(419) 756-1110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30 018983
OH
Other
Enumeration date
08/03/2006
Last updated
12/13/2016
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