Individual
DR. THEODORE P LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2014 PROFESSIONAL CT, MARTINSBURG, WV 25401-8808
(304) 267-4401
(304) 267-0360
Mailing address
2014 PROFESSIONAL CT, MARTINSBURG, WV 25401-8808
(304) 267-4401
(304) 267-0360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3381
WV
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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