Organization
LESLIE ROBERT FISH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE R FISH D.D.S. (OWNER)
(480) 726-6600
Entity
Organization
Contact information
Practice address
1200 W WARNER RD, SUITE, #3, CHANDLER, AZ 85224-2758
(480) 726-6600
(480) 726-6611
Mailing address
1200 W WARNER RD, SUITE, #3, CHANDLER, AZ 85224-2758
(480) 726-6600
(480) 726-6611
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2825
AZ
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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