| Leslie Family Dentistry | |
|
126 N Main St Leslie MI 49251-9426 | |
| (517) 589-5400 | |
| Not Available |
| Full Name | Leslie Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 126 N Main St, Leslie, Michigan |
| Authorized Official Name and Position | Martin Vredenburg (PRESIDENT) |
| Authorized Official Contact | 5175895400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Family Dentistry 126 N Main St Leslie MI 49251-9426 Ph: () - | Leslie Family Dentistry 126 N Main St Leslie MI 49251-9426 Ph: (517) 589-5400 |
| NPI Number | 1306070495 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306070495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901016925 (Michigan) | Primary |
Leslie Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 S Main, Leslie, MI 49251 Phone: 517-589-5995 Fax: 517-589-5154 |