Leslie Allen Dds Inc | |
3931 Highway 78 W Ste A Snellville GA 30039-3907 | |
(770) 985-1050 | |
Not Available |
Full Name | Leslie Allen Dds Inc |
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Speciality | Dentist |
Location | 3931 Highway 78 W, Snellville, Georgia |
Authorized Official Name and Position | Leslie Allen (OWNER) |
Authorized Official Contact | 6784911192 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Leslie Allen Dds Inc 3931 Highway 78 W Ste A Snellville GA 30039-3907 Ph: (770) 985-1050 | Leslie Allen Dds Inc 3931 Highway 78 W Ste A Snellville GA 30039-3907 Ph: (770) 985-1050 |
NPI Number | 1265854194 |
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Provider Enumeration Date | 01/13/2014 |
Last Update Date | 09/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265854194 | NPI | - | NPPES |
269-3732 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN012334 (Georgia) | Primary |
122300000X | Dentist | 30019014 (Ohio) | Secondary |
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