| J Nicholas Leyko Dds Pa | |
|
4204 Forge Road Perry Hall MD 21128 | |
| (410) 256-5577 | |
| (410) 256-4384 |
| Full Name | J Nicholas Leyko Dds Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4204 Forge Road, Perry Hall, Maryland |
| Authorized Official Name and Position | James Nicholas Leyko (DOCTOR) |
| Authorized Official Contact | 4102565577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Nicholas Leyko Dds Pa 4204 Forge Road Perry Hall MD 21128 Ph: (410) 256-5577 | J Nicholas Leyko Dds Pa 4204 Forge Road Perry Hall MD 21128 Ph: (410) 256-5577 |
| NPI Number | 1386604593 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386604593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4045 (Maryland) | Primary |
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