Leisha V. Everett,dds,pc

NPI #1255561791 in Mustang, Oklahoma

Provider Information

NPI Number: 1255561791
Entity Type: Organization
Organization Name: Leisha V. Everett,dds,pc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 17, 2009
Last Updated: Jul 17, 2009

Practice Location

Address: 1100 N MUSTANG RD
City: Mustang
State: Oklahoma
ZIP Code: 73064-7201
Phone: (405) 376-6565

Authorized Official

Name: DR. LEISHA VON EVERETT, DDS
Title: OWNER
Phone: (405) 376-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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