# LESLIE M WOODELL, DDS, PC

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

## Provider details

- **NPI number:** 1740921329
- **Authorized official:** DR. LESLIE M WOODELL DDS (DENTIST/OWNER)
- **Authorized official phone:** (734) 459-2400

## Contact information

- **Practice address:** 838 S MAIN ST, PLYMOUTH, MI 48170-2080
- **Practice address phone:** (734) 459-2400
- **Practice address fax:** (734) 459-9463
- **Mailing address:** 838 S MAIN ST, PLYMOUTH, MI 48170-2080
- **Mailing address phone:** (734) 459-2400
- **Mailing address fax:** (734) 459-9463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2022
- **Last updated:** 04/06/2022