| Greg A Leisle Dds Inc | |
|
6245 N Fresno St #103 Fresno CA 93710 | |
| (559) 432-6653 | |
| (559) 432-8403 |
| Full Name | Greg A Leisle Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 6245 N Fresno St, Fresno, California |
| Authorized Official Name and Position | Becky L Wilson (OFFICE MANAGER) |
| Authorized Official Contact | 5594326653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg A Leisle Dds Inc 6245 N Fresno St #103 Fresno CA 93710 Ph: (559) 432-6653 | Greg A Leisle Dds Inc 6245 N Fresno St #103 Fresno CA 93710 Ph: (559) 432-6653 |
| NPI Number | 1710026851 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710026851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24823 (California) | Primary |
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