Casey Patrick Leser, DDS Valid NPI
Individual provider · Oral and Maxillofacial Surgery (Dentist) · Ft Gordon, GA
- NPI
- 1659358893
- Type
- Individual (Type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223S0112X
- License number
- 3357-015 (WI)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2005-12-29
- Last updated
- 2007-07-08
Practice location
38th Street/Bldg 38717, Usa Dentac
Ft Gordon, GA 30905-5660
(706) 787-6927