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General NPI Number Information
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NPI Number | 1255136941
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER W. LEYSTER, DDS, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 125 N TUSTIN ST STE B
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City | ORANGE
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State | CA
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Zip | 92867-7755
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Country | US
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Telephone | 714-587-4339
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Fax |
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Provider Business Mailing Address
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Address Line | 125 N TUSTIN ST STE B
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City | ORANGE
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State | CA
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Zip | 92867-7755
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PAYOR RELATIONS MANAGER
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Name | CASSANDRA WIETH
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Credential |
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Telephone | 623-267-8121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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