NATHAN D LEISKE DDS PS

SELAH, WA
NPI1760755342
Entity TypeOrganization
Authorized ContactNATHAN D LEISKE
President
360-580-0163
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  60227116)
Enumeration Date2012-02-14
Last Update Date2012-02-14
Business Address
NATHAN D LEISKE DDS PS
112 S 2ND ST
SELAH, WA 98942-1308
Phone number: 360-580-0163
Mailing Address
NATHAN D LEISKE DDS PS
112 S 2ND ST
SELAH, WA 98942-1308
Phone number: 360-580-0163