Individual
DR. LESLIE LYNETTE NEVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
8851 N 56TH ST, TEMPLE TERRACE, FL 33617-6203
(813) 381-5628
Mailing address
3205 W DE LEON ST, UNIT E, TAMPA, FL 33609-4678
(561) 704-7385
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 20332
FL
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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