Individual
LESLEY-ANNE P. MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD/DDS
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1122
(617) 421-1128
Mailing address
147 MILK ST, PROVIDER ENROLLMENT DEPT, 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21723
MA
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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