Individual
DR. TERENCE T LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, RPH
Contact information
Practice address
2430 R.D. MIZE ROAD, SUITE 200, INDEPENDENCE, MO 64057-1808
(816) 373-9110
(816) 373-9120
Mailing address
2430 R.D. MIZE ROAD, SUITE 200, INDEPENDENCE, MO 64057-1808
(816) 373-9110
(816) 373-9120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014721
MO
183500000X
Pharmacist
29636
MO
Other
Enumeration date
06/09/2006
Last updated
09/11/2025
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