Individual
LESLIE HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 FULTON AVE, COOS BAY, OR 97420-2895
(541) 888-6433
(541) 888-7505
Mailing address
1245 FULTON AVE, COOS BAY, OR 97420-2895
(541) 888-6433
(541) 888-7505
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2320
OR
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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