DR. Leah Marie Fax, DDS

NPI #1497370829 in West Bend, Wisconsin

Provider Information

NPI Number
1497370829
Entity Type
Individual
Name
DR. Leah Marie Fax, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 11, 2020
Last Updated
Jun 11, 2020

Practice Location

Address
309 N 7TH AVE
ZIP Code
53095-3242
Phone
(262) 338-1164

Specialties & Taxonomy Codes

Specialty
Dentist

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