Provider Demographics
NPI:1962247619
Name:LEEZA STEIN, DDS, PLLC
Entity type:Organization
Organization Name:LEEZA STEIN, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEEZA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-771-2213
Mailing Address - Street 1:1300 E RALPH HALL PKWY STE 114
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6514
Mailing Address - Country:US
Mailing Address - Phone:972-771-2213
Mailing Address - Fax:
Practice Address - Street 1:1300 E RALPH HALL PKWY STE 114
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6514
Practice Address - Country:US
Practice Address - Phone:972-771-2213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty