Individual
LESLIE PENCE BARCENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7140 SAGHEER ST, BROOKSVILLE, FL 34613-6535
(352) 544-9594
Mailing address
12519 WHITE BLUFF RD, HUDSON, FL 34669-5017
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN24831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111659000
—
FL
Enumeration date
02/19/2019
Last updated
07/06/2024
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