Individual
DR. LESLIE ANN NECHVATAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
624 SOUTH HIGH ST, HILLSBORO, OH 45133
(937) 393-3494
(937) 393-6864
Mailing address
PO BOX 310, HILLSBORO, OH 45133
(937) 393-3494
(937) 393-6864
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-623217
OH
1223G0001X
General Practice Dentistry
30-023217
OH
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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