Individual
DR. LESLIE DANIELLE CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
19665 S LA GRANGE RD, MOKENA, IL 60448-9360
(708) 479-9888
Mailing address
9735 WARWICK CT, MUNSTER, IN 46321-3569
(765) 729-2698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028307
IL
122300000X
Dentist
12011553A
IN
Other
Enumeration date
06/16/2010
Last updated
09/24/2019
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