| Joshua E Leute Dds Sc | |
|
1317 W Grand Avenue Port Washington WI 53074 | |
| (262) 284-5884 | |
| (262) 284-1840 |
| Full Name | Joshua E Leute Dds Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1317 W Grand Avenue, Port Washington, Wisconsin |
| Authorized Official Name and Position | Joshua E Leute (PRESIDENT) |
| Authorized Official Contact | 2622845884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua E Leute Dds Sc 1317 W Grand Avenue Port Washington WI 53074 Ph: (262) 284-5884 | Joshua E Leute Dds Sc 1317 W Grand Avenue Port Washington WI 53074 Ph: (262) 284-5884 |
| NPI Number | 1447385125 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 03/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447385125 | NPI | - | NPPES |
| 33589200 | Medicaid | WI | |
| 33814500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5000738 (Wisconsin) | Primary |
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