Individual
DR. LESLIE IVAN DENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6476 ORCHARD LK ROAD, 15631 GRAND RIVER DETROIT MI, W. BLOOMFIELD, MI 48322
(248) 851-6300
(248) 538-1460
Mailing address
6609 WESTBROOKE CT, WEST BLOOMFIELD, MI 48322
(248) 661-2274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003050
MI
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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