Individual
LESLIE HOLLEVOET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1223 S 12TH ST, SUITE 1, BISMARCK, ND 58504-6626
(701) 221-0518
Mailing address
1223 S 12TH ST, SUITE 1, BISMARCK, ND 58504-6626
(701) 221-0518
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2073
ND
Other
Enumeration date
05/31/2007
Last updated
03/22/2012
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