Individual
DR. SARA ELIZABETH LEONETTE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
744 RYAN DR, SUITE 203, HUDSON, WI 54016-7979
(715) 386-5400
Mailing address
744 RYAN DR STE 203, HUDSON, WI 54016-7985
(715) 386-5400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30-022715
OH
1223G0001X
General Practice Dentistry
Primary
6035-015
WI
Other
Enumeration date
07/23/2007
Last updated
07/22/2010
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