Individual
DR. LESLIE ROBERT FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1200 W WARNER RD, SUITE #3, CHANDLER, AZ 85224-2758
(480) 726-6600
(480) 726-6611
Mailing address
1200 W WARNER RD, SUITE #3, CHANDLER, AZ 85224-2758
(480) 726-6600
(480) 726-6611
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2835
AZ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2835
AZ
Other
Enumeration date
03/02/2006
Last updated
08/05/2015
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