Organization
RONALD K LEACH DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD K LEACH DDS (OWNER PRESIDENT)
(507) 357-2280
Entity
Organization
Contact information
Practice address
101 SOUTH PARK AVE, LECENTER, MN 56057
(507) 357-2280
Mailing address
PO BOX 97, LECENTER, MN 56057
(507) 357-2280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
07569
MN
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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