Organization
LEIX DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRVANA L LEIX DDS (PRESIDENT)
(815) 455-8186
Entity
Organization
Contact information
Practice address
8505 REDTAIL DRIVE, SUITE J, VILLAGE OF LAKEWOOD, IL 60014
(815) 455-8186
(815) 455-8188
Mailing address
8505 REDTAIL DRIVE, SUITE J, VILLAGE OF LAKEWOOD, IL 60014
(815) 455-8186
(815) 455-8188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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