Organization
THOMAS W. LESLIE, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LESLIE D.D.S. (OWNER/DENTIST)
(304) 258-2291
Entity
Organization
Contact information
Practice address
345 CONCORD AVE, BERKELEY SPRINGS, WV 25411-1235
(304) 258-2291
(304) 258-8188
Mailing address
345 CONCORD AVE, BERKELEY SPRINGS, WV 25411-1235
(304) 258-2291
(304) 258-8188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2484
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0136367000
—
WV
Enumeration date
09/10/2014
Last updated
09/10/2014
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