Leslie Scruggs Mayer, D.d.s., P.a.

NPI #1306249933 in Texas City, Texas

Provider Information

NPI Number: 1306249933
Entity Type: Organization
Organization Name: Leslie Scruggs Mayer, D.d.s., P.a.
Primary Specialty: Dentist
Enumeration Date: Sep 26, 2014
Last Updated: Sep 26, 2014

Practice Location

Address: 1201 21ST ST N
City: Texas City
State: Texas
ZIP Code: 77590-5445
Phone: (409) 359-5253

Authorized Official

Name: DR. LESLIE SCRUGGS MAYER, D.D.S.
Title: EXECUTIVE DIRECTOR
Phone: (409) 359-5253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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