Individual
DR. JASON ALLAN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2154 GOODMAN RD W, HORN LAKE, MS 38637-1303
(662) 393-9200
Mailing address
8151 E INDIAN BEND RD, STE 111, SCOTTSDALE, AZ 85250-4826
(480) 607-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6188
AZ
Other
Enumeration date
02/12/2007
Last updated
12/23/2015
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