Individual
LESLIE ZIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1049 MAIN ST, CARING HEALTH CENTER, INC, SPRINGFIELD, MA 01103-2114
(413) 739-1100
(413) 304-4670
Mailing address
484 INVERNESS LN, LONGMEADOW, MA 01106-2826
(413) 567-0760
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14059
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028120
—
MA
Enumeration date
12/14/2005
Last updated
09/01/2016
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