Individual
LESLIE MADISON FICKLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10625 BIG BEND RD, RIVERVIEW, FL 33579-7176
(813) 549-0931
Mailing address
5832 SUMMERALL VISTA CIR APT 4-117, RIVERVIEW, FL 33578-5103
(706) 306-9037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30879
FL
Other
Enumeration date
08/01/2025
Last updated
08/04/2025
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