Katherine Lynn Leiva, RDH

NPI #1124666573 in Pingree Grove, Illinois

Provider Information

NPI Number: 1124666573
Entity Type: Individual
Name: Katherine Lynn Leiva, RDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Dec 17, 2019
Last Updated: Dec 17, 2019

Practice Location

Address: 1791 DEMPSEY CIR
City: Pingree Grove
State: Illinois
ZIP Code: 60140-8019
Phone: (815) 325-1114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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