Individual
DR. LEAH MARIE FAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
309 N 7TH AVE, WEST BEND, WI 53095-3242
(262) 338-1164
Mailing address
11241 SYNERGY DR APT 420, WAUWATOSA, WI 53222-1346
(608) 438-9468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1002308
WI
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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