Individual
BRECK LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2111 S OLD MISSOURI RD, SPRINGDALE, AR 72764-8718
(479) 340-0005
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 988-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4365
AR
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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