DR. Leslie Edward Broline, DDS MS

NPI #1154427029 in Austin, Texas

Provider Information

NPI Number: 1154427029
Entity Type: Individual
Name: DR. Leslie Edward Broline, DDS MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS MS
Enumeration Date: Sep 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3508 FAR WEST BLVD
Address 2: STE 330
City: Austin
State: Texas
ZIP Code: 78731-3041
Phone: (512) 343-9488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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