Individual
THOMAS WADE LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
345 CONCORD, BERKELEY SPRINGS, WV 25411
(304) 258-2291
(304) 258-8188
Mailing address
345 CONCORD, BERKELEY SPRINGS, WV 25411
(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
10/18/2006
Last updated
07/08/2007
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