CORRIE CHRISTOPHER LEISEN

SANTA ROSA, CA
NPI1902087505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  30919)
Enumeration Date2007-11-25
Last Update Date2007-11-25
Business Address
Dr. CORRIE CHRISTOPHER LEISEN DDS
3914 PRINCETON DR
SANTA ROSA, CA 95405-7014
Phone number: 707-546-2129
Mailing Address
Dr. CORRIE CHRISTOPHER LEISEN DDS
3914 PRINCETON DR
SANTA ROSA, CA 95405-7014
Phone number: 707-546-2129
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