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MISS LESLIE ERIN SIEGFRIED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2626 MERCHANTS WALK, MURFREESBORO, TN 37128-2863
(615) 225-8903
(615) 225-8915
Mailing address
12 MARLOU DRIVE, CABOT, AR 72023
(501) 628-5555
(501) 628-5556

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3838
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
197469608
AR
Enumeration date
07/07/2011
Last updated
07/30/2013
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