Individual
DR. LAUREL RAE LESLIE-MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1361 FRANCIS ST STE 104, LONGMONT, CO 80501-2545
(303) 772-5055
(303) 651-2612
Mailing address
1361 FRANCIS ST STE 104, LONGMONT, CO 80501-2545
(303) 772-5055
(303) 651-2612
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7299
CO
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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