Ellen K Leslie

NPI #1942771829 in Mt Pleasant, Wisconsin

Provider Information

NPI Number: 1942771829
Entity Type: Individual
Name: Ellen K Leslie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Dec 17, 2018
Last Updated: Dec 17, 2018

Practice Location

Address: 1320 S GREEN BAY RD
City: Mt Pleasant
State: Wisconsin
ZIP Code: 53406-4402
Phone: (855) 989-5422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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