Individual
BRIANNE ELIZABETH LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3850
Mailing address
320 STANAFORD RD, WINSTON SALEM, NC 27104-1520
(336) 409-5607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11115
NC
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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