Organization
LEYES ROBERS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE LEYES (OWNER)
(920) 830-4100
Entity
Organization
Contact information
Practice address
3216 W COUNTY RD KK, APPLETON, WI 54915
(920) 830-4100
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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