Organization
DENTISTRY TODAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE BARRILLEAUX DMD (DENTIST/OWNER)
(256) 529-5179
Entity
Organization
Contact information
Practice address
2801 MEMORIAL PKWY SW, STE185, HUNTSVILLE, AL 35801-6519
(256) 529-5179
Mailing address
2801 MEMORIAL PKWY SW, STE185, HUNTSVILLE, AL 35801-6519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4489
AL
Other
Enumeration date
03/31/2012
Last updated
03/31/2012
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