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Individual

RICHARD S LEISHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
265 W CENTER ST, OREM, UT 84057-4611
(801) 225-5888
(801) 224-1595
Mailing address
265 W CENTER ST, OREM, UT 84057-4611
(801) 225-5888
(801) 224-1595

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53529399922
UT

Other

Enumeration date
03/01/2007
Last updated
07/08/2007
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