Individual
LESLIE G. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1025 ROBERTSON STREET, FORT COLLINS, CO 80524
(970) 493-4313
(970) 407-8519
Mailing address
1025 ROBERTSON STREET, FORT COLLINS, CO 80524
(970) 493-4313
(970) 407-8519
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9251
CO
Other
Enumeration date
10/02/2006
Last updated
06/07/2023
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