Individual
LESLIE T PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
N80W17707 CUSTER LN, MENOMONEE FALLS, WI 53051-3630
(262) 255-2727
Mailing address
N80W17707 CUSTER LN, MENOMONEE FALLS, WI 53051-3630
(262) 255-2727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6978
WI
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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