Individual
DR. LESLIE ANNE TEVEBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1722 MAIN STREET, WOODWARD, OK 73801
(580) 256-6816
(580) 256-9839
Mailing address
1722 MAIN STREET, WOODWARD, OK 73801
(580) 256-6816
(580) 256-9839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5440
OK
Other
Enumeration date
06/24/2006
Last updated
02/02/2011
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