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Individual

DR. RYAN MICHAEL LEININGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
205 W HIGHWAY 95, PARMA, ID 83660-5519
(208) 722-6400
Mailing address
205 W HIGHWAY 95, PO BOX 420, PARMA, ID 83660-5519
(208) 722-6400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4779
ID

Other

Enumeration date
04/12/2017
Last updated
04/12/2017
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