Organization
LESLIE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOSEPH MONDRAGON DDS (DOCTOR)
(517) 589-5995
Entity
Organization
Contact information
Practice address
159 S MAIN, LESLIE, MI 49251
(517) 589-5995
(517) 589-5154
Mailing address
PO BOX 596, 159 S MAIN, LESLIE, MI 49251
(517) 589-5995
(517) 589-5154
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015968
MI
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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