# LESLIE DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467599258
- **Authorized official:** MR. ROBERT JOSEPH MONDRAGON DDS (DOCTOR)
- **Authorized official phone:** (517) 589-5995

## Contact information

- **Practice address:** 159 S MAIN, LESLIE, MI 49251
- **Practice address phone:** (517) 589-5995
- **Practice address fax:** (517) 589-5154
- **Mailing address:** PO BOX 596, 159 S MAIN, LESLIE, MI 49251
- **Mailing address phone:** (517) 589-5995
- **Mailing address fax:** (517) 589-5154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901015968 | MI | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020