Individual
MR. LESLIE ARTHUR JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3282 SOUTH MAIN ST, SANDY LAKE, PA 16145
(724) 376-2930
Mailing address
PO BOX 692, 3282 SOUTH MAIN ST, SANDY LAKE, PA 16145
(724) 376-2930
(724) 376-2121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS021219L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018774800001
—
PA
Enumeration date
09/16/2006
Last updated
07/08/2007
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