Nathan D Leiske Dds Ps | |
112 S 2nd St Selah WA 98942-1308 | |
(360) 580-0163 | |
Not Available |
Full Name | Nathan D Leiske Dds Ps |
---|---|
Speciality | Dentist |
Location | 112 S 2nd St, Selah, Washington |
Authorized Official Name and Position | Nathan D Leiske (PRESIDENT) |
Authorized Official Contact | 3605800163 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nathan D Leiske Dds Ps 112 S 2nd St Selah WA 98942-1308 Ph: (360) 580-0163 | Nathan D Leiske Dds Ps 112 S 2nd St Selah WA 98942-1308 Ph: (360) 580-0163 |
NPI Number | 1760755342 |
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Provider Enumeration Date | 02/14/2012 |
Last Update Date | 02/14/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760755342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 60227116 (Washington) | Primary |
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