| Nathan D Leiske DDS PS | |
|
112 S 2nd St Selah WA 98942-1308 | |
| (360) 580-0163 | |
| Not Available |
| Full Name | Nathan D Leiske DDS PS |
|---|---|
| Speciality | Dentist |
| Location | 112 S 2nd St, Selah, Washington |
| Authorized Official Name and Position | Nathan D Leiske (PRESIDENT) |
| Authorized Official Contact | 3605800163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan D Leiske DDS PS 112 S 2nd St Selah WA 98942-1308 Ph: (360) 580-0163 | Nathan D Leiske DDS PS 112 S 2nd St Selah WA 98942-1308 Ph: (360) 580-0163 |
| NPI Number | 1760755342 |
|---|---|
| Provider Enumeration Date | 02/14/2012 |
| Last Update Date | 02/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760755342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60227116 (Washington) | Primary |
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