Organization
K AND L DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD R LEIGHTY (OWNER)
(765) 664-0028
Entity
Organization
Contact information
Practice address
117 W MULBERRY ST, MARION, IN 46952-2667
(765) 664-0028
(765) 668-3658
Mailing address
117 W MULBERRY ST, MARION, IN 46952-2667
(765) 664-0028
(765) 668-3658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009572
IN
Other
Enumeration date
11/13/2006
Last updated
04/07/2008
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