Individual
DR. LESLIE FITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6801 RIDGE AVE, PHILADELPHIA, PA 19128-2446
(215) 483-6633
Mailing address
2819 FIESTA DR, YORK, PA 17403-9741
(717) 683-6716
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS029926L
PA
1223P0221X
Pediatric Dentistry
Primary
DS029926L
PA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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