Individual
MR. MICHAEL LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6850 HILLTOP RD, SUITE 160, SHAWNEE, KS 66226-3532
(913) 745-2500
(913) 745-2503
Mailing address
5021 W 72ND ST, PRAIRIE VILLAGE, KS 66208-2406
(913) 530-3783
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60266
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200328130A
—
KS
Enumeration date
07/26/2006
Last updated
07/08/2007
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