Organization
LESLIE ALLEN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE ALLEN DDS (OWNER)
(678) 491-1192
Entity
Organization
Contact information
Practice address
3931 HIGHWAY 78 W, STE A, SNELLVILLE, GA 30039-3907
(770) 985-1050
Mailing address
3931 HIGHWAY 78 W, STE A, SNELLVILLE, GA 30039-3907
(770) 985-1050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30019014
OH
122300000X
Dentist
Primary
DN012334
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269-3732
—
OH
Enumeration date
01/13/2014
Last updated
09/26/2016
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