Individual
LESLIE ANN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
440 VILLA RD, NEWBERG, OR 97132-1856
(503) 538-8338
(503) 537-0578
Mailing address
440 VILLA RD, NEWBERG, OR 97132-1856
(503) 538-8338
(503) 537-0578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8133
OR
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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