Individual
LESLIE JEAN DAVIS-GROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5859 ALLENTOWN WAY, TEMPLE HILLS, MD 20748-2613
(301) 615-0940
Mailing address
7120 E CEDAR ST, LANDOVER, MD 20785-5217
(301) 377-3998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11819
MD
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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