Nathan D Leiske DDS PC

NPI #1578071817 in Marion, Illinois

Provider Information

NPI Number
1578071817
Entity Type
Organization
Organization Name
Nathan D Leiske DDS PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 22, 2018
Last Updated
Sep 19, 2022

Practice Location

Address
1504 SIOUX DR
City
Marion
ZIP Code
62959-5209
Phone
(618) 997-0127

Authorized Official

Name
NATHAN D LEISKE, DDS
Title
OWNER
Phone
(618) 997-0127

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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