Organization
JOSHUA E LEUTE DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA E LEUTE DDS (PRESIDENT)
(262) 284-5884
Entity
Organization
Contact information
Practice address
1317 W GRAND AVENUE, PORT WASHINGTON, WI 53074
(262) 284-5884
(262) 284-1840
Mailing address
1317 W GRAND AVENUE, PORT WASHINGTON, WI 53074
(262) 284-5884
(262) 284-1840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000738
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33589200
—
WI
05
—
33814500
—
WI
Enumeration date
02/22/2007
Last updated
03/03/2010
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