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Nathan D Leiske Dds Pc
Dental Clinic/Center in Marion, Illinois
NPI 1578071817

Nathan D Leiske Dds Pc is a Dental Clinic/Center based in Marion, IL and is specialized in Dental. Nathan D Leiske Dds Pc practices in Marion, IL. The NPI Number for Nathan D Leiske Dds Pc is 1578071817 and holds a License No. 019.030942 (Illinois).

The current practice location address for Nathan D Leiske Dds Pc is 1504 Sioux Dr, Marion, IL and can be reached out via phone at 618-997-0127.

Location: 1504 Sioux Dr, Marion, IL, 62959-5209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578071817
Provider Name
Nathan D Leiske Dds Pc
Credential
Provider Entity Type
Organization
Address
1504 Sioux Dr, Marion, IL, 62959-5209
Phone Number
618-997-0127
Fax Number
Provider Enumeration Date
01/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1504 Sioux Dr
City
Marion
State
Illinois
Zip
62959-5209
Phone Number
618-997-0127
Fax Number
person
Provider Business Mailing Address Details
Address
1504 Sioux Dr
City
Marion
State
Illinois
Zip
62959-5209
Phone Number
618-997-0127
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
019.030942 (Illinois)
Definition
Definition to come...
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