Individual
DR. LESLIE BRIGGS WARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
550 PENNSYLVANIA AVE, SUITE 1 WEST, GLEN ELLYN, IL 60137-8303
(630) 469-5545
(630) 469-5589
Mailing address
550 PENNSYLVANIA AVE, SUITE 1 WEST, GLEN ELLYN, IL 60137-8303
(630) 469-5545
(630) 469-5589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019021612
IL
Other
Enumeration date
11/30/2006
Last updated
04/22/2008
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