Organization
LEIKER ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEIKER DDS (CEO)
(620) 792-6640
Entity
Organization
Contact information
Practice address
2023 WASHINGTON ST, GREAT BEND, KS 67530-2450
(620) 792-6640
Mailing address
2023 WASHINGTON ST, GREAT BEND, KS 67530-2450
(620) 792-6640
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60176
KS
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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