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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA MARIE LEAK

Active

AMANDA MARIE LEAK is a Dental Assistant healthcare provider located in PETERSON AFB, Colorado. NPI 1093305146 is currently active in the NPPES registry. Verify at CMS.

Dental Assistant · PETERSON AFB, CO

Registration Details

NPI Number
1093305146
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2021 (5.3751468974289 yrs)
Last Updated
Jan 22, 2021

Practice Information

Address
1055 E STEWART AVE BLDG 2018
PETERSON AFB, CO, 809142900
Browse CO providers · Browse ZIP 80914
Phone
7195561333
Primary Specialty
Dental Assistant
126800000X

Other Dental Assistant Providers in PETERSON AFB, CO

Name Credential NPI
MAURICE COLEMAN 1073129284
MARY B MEDIGE 1598372476
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.