Individual
JULIE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2820 ANCHOR DR, FARMINGTON, MO 63640-7387
(855) 944-5437
Mailing address
652 S TROY PL, SPRINGFIELD, MO 65802-5700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2014018081
MO
Other
Enumeration date
06/23/2014
Last updated
11/06/2014
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