Individual
DR. JEFFREY MICHAEL LEINASSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1414 MARINE DR, ASTORIA, OR 97103-3808
(503) 325-0310
(503) 325-1513
Mailing address
1414 MARINE DR, ASTORIA, OR 97103-3808
(503) 325-0310
(503) 325-1513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5069
OR
Other
Enumeration date
07/15/2005
Last updated
06/05/2012
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