Individual
BYRON T. LEIDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
226 N LIBERTY ST, DELAWARE, OH 43015-1644
(740) 363-1343
(740) 363-9424
Mailing address
226 N. LIBERTY ST., P.O. BOX 364, DELAWARE, OH 43015
(740) 363-1343
(740) 363-9424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12262
OH
Other
Enumeration date
06/16/2005
Last updated
07/08/2007
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