Provider Demographics
NPI:1255398780
Name:SIOMKA, LEON VALENTIN (DDS MS)
Entity type:Individual
Prefix:DR
First Name:LEON
Middle Name:VALENTIN
Last Name:SIOMKA
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Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:10407 E GRAND RIVER
Mailing Address - Street 2:SUITE 700
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116
Mailing Address - Country:US
Mailing Address - Phone:810-227-6995
Mailing Address - Fax:810-227-9794
Practice Address - Street 1:10407 E GRAND RIVER
Practice Address - Street 2:SUITE 700
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116
Practice Address - Country:US
Practice Address - Phone:810-227-6995
Practice Address - Fax:810-227-9794
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-08-20
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Provider Licenses
StateLicense IDTaxonomies
MI29010132031223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics