| Leslie Allen Dds Inc | |
|
3931 Highway 78 W Ste A Snellville GA 30039-3907 | |
| (770) 985-1050 | |
| Not Available |
| Full Name | Leslie Allen Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 3931 Highway 78 W, Snellville, Georgia |
| Authorized Official Name and Position | Leslie Allen (OWNER) |
| Authorized Official Contact | 6784911192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Allen Dds Inc 3931 Highway 78 W Ste A Snellville GA 30039-3907 Ph: (770) 985-1050 | Leslie Allen Dds Inc 3931 Highway 78 W Ste A Snellville GA 30039-3907 Ph: (770) 985-1050 |
| NPI Number | 1265854194 |
|---|---|
| Provider Enumeration Date | 01/13/2014 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265854194 | NPI | - | NPPES |
| 269-3732 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30019014 (Ohio) | Secondary |
| 122300000X | Dentist | DN012334 (Georgia) | Primary |
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