Individual
LESLYE BROOKE LAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1740 W 17TH AVE, EUGENE, OR 97402-3619
(888) 468-0022
Mailing address
1740 W 17TH AVE, EUGENE, OR 97402-3619
(888) 468-0022
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H4002
OR
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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