Individual
DR. LESLEY SUZANNE KIZIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
825 W 13TH ST, JASPER, IN 47546-1820
(812) 556-6500
(812) 556-6501
Mailing address
825 W 13TH ST, JASPER, IN 47546-1820
(812) 556-6500
(812) 556-6501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009960
IN
Other
Enumeration date
05/30/2007
Last updated
08/27/2020
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