Individual
DR. JEFFREY B LEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
132 JOHN ROBERT THOMAS DR, EXTON, PA 19341
(610) 363-2900
(610) 363-7722
Mailing address
132 JOHN ROBERT THOMAS DR, EXTON, PA 19341
(610) 363-2900
(610) 363-7722
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS028064L
PA
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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