| Leisa Robotham-reid Pllc | |
|
6220 Gaston Ave Ste 600 Dallas TX 75214-4345 | |
| (917) 873-2500 | |
| Not Available |
| Full Name | Leisa Robotham-reid Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6220 Gaston Ave Ste 600, Dallas, Texas |
| Authorized Official Name and Position | Leisa Robotham-reid (MANAGING MEMBER) |
| Authorized Official Contact | 9178732500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leisa Robotham-reid Pllc 4419 Cabell Dr Apt 102 Dallas TX 75204-0001 Ph: (917) 873-2500 | Leisa Robotham-reid Pllc 6220 Gaston Ave Ste 600 Dallas TX 75214-4345 Ph: (917) 873-2500 |
| NPI Number | 1689340192 |
|---|---|
| Provider Enumeration Date | 08/17/2021 |
| Last Update Date | 08/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689340192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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