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Individual

DR. LESLIE LEIGH SHOWALTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1951 COMMERCE PKWY, FORT ATKINSON, WI 53538-3139
(920) 563-4415
(920) 563-4476
Mailing address
1951 COMMERCE PKWY, FORT ATKINSON, WI 53538-3139
(920) 563-4415
(920) 563-4476

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5180
WI

Other

Enumeration date
03/07/2007
Last updated
06/22/2010
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