Individual
KATHERINE A LEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 W COLLEGE AVE, APPLETON, WI 54914-3920
(920) 830-4100
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011134A
IN
Other
Enumeration date
05/22/2008
Last updated
02/12/2014
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