Individual
DR. LESLIE SHIGETANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4175 S ALAMO AVE, DM AFB, AZ 85707-4402
(520) 228-2651
Mailing address
4175 S ALAMO AVE, DM AFB, AZ 85707-4402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1143
HI
Other
Enumeration date
01/09/2006
Last updated
03/15/2018
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