DR. Laurel Rae Leslie-Martin, D.D.S., M.S.

NPI #1043454317 in Longmont, Colorado

Provider Information

NPI Number: 1043454317
Entity Type: Individual
Name: DR. Laurel Rae Leslie-Martin, D.D.S., M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: D.D.S., M.S.
Enumeration Date: Apr 29, 2009
Last Updated: Apr 29, 2009

Practice Location

Address: 1361 FRANCIS ST STE 104
City: Longmont
State: Colorado
ZIP Code: 80501-2545
Phone: (303) 772-5055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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