Organization
KATHERINE LEYES D.D.S LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM STEWARD (PROVIDER SERVICE MANAGER)
(866) 273-8204
Entity
Organization
Contact information
Practice address
3300 W COLLEGE AVE, APPLETON, WI 54914-3920
(920) 830-4100
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6365015
WI
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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