Individual
DR. MICHAEL RYAN LEUCHTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3820 ELM ST, SAINT CHARLES, MO 63301-4368
(636) 916-4848
Mailing address
3820 ELM ST, SAINT CHARLES, MO 63301-4368
(636) 916-4848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2010021038
MO
Other
Enumeration date
08/16/2010
Last updated
05/03/2012
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