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Individual

LESLEY CHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7360 GUILFORD DR STE 101, FREDERICK, MD 21704-5128
(301) 788-2522
Mailing address
7360 GUILFORD DR STE 101, FREDERICK, MD 21704-5128
(301) 788-2522

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
17196
MD

Other

Enumeration date
06/09/2017
Last updated
02/26/2021
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