Nathan D Leiske DDS Ps

NPI #1760755342 in Selah, Washington

Provider Information

NPI Number: 1760755342
Entity Type: Organization
Organization Name: Nathan D Leiske DDS Ps
Primary Specialty: Dentist
Enumeration Date: Feb 14, 2012
Last Updated: Feb 14, 2012

Practice Location

Address: 112 S 2ND ST
City: Selah
State: Washington
ZIP Code: 98942-1308
Phone: (360) 580-0163

Authorized Official

Name: NATHAN D LEISKE, DDS
Title: PRESIDENT
Phone: (360) 580-0163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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