Individual
DR. KRISTIN NICOLE LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6345 E BELL RD, SUITE 1, SCOTTSDALE, AZ 85254-6452
(480) 607-3600
(480) 998-9289
Mailing address
1575 BLONDELL AVE, SUITE 150, BRONX, NY 10461-2660
(718) 405-8190
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
049353
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6892
AZ
Other
Enumeration date
05/08/2006
Last updated
03/03/2009
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