Individual
LESLIE A MCDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
527 W MARION RD, MOUNT GILEAD, OH 43338-1257
(419) 949-5007
(419) 464-9355
Mailing address
527 W MARION RD, MOUNT GILEAD, OH 43338-1257
(419) 949-5007
(419) 464-9355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-016916
OH
Other
Enumeration date
11/28/2006
Last updated
02/02/2016
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