Individual
LEAH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31515 PETE VON REICHBAUER WAY S # 198, FEDERAL WAY, WA 98003-5599
(253) 444-3010
Mailing address
521 WILLIAMSBURG WAY, KING OF PRUSSIA, PA 19406-2759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
70137402
PA
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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