Individual
DR. DANIEL A LEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
300 S 20TH ST, ROGERS, AR 72758-1105
(479) 636-0777
(479) 636-1232
Mailing address
300 S 20TH ST, ROGERS, AR 72758-1105
(479) 636-0777
(479) 636-1232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2616
AR
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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