| Leslie J. Zide, Dmd, Inc. | |
|
1795 Main Street Suite 112 Springfield MA 01103 | |
| (413) 297-2379 | |
| Not Available |
| Full Name | Leslie J. Zide, Dmd, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1795 Main Street, Springfield, Massachusetts |
| Authorized Official Name and Position | Leslie Joan Zide (OWNER) |
| Authorized Official Contact | 4132972379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie J. Zide, Dmd, Inc. 1795 Main Street Suite 112 Springfield MA 01103 Ph: (413) 297-2379 | Leslie J. Zide, Dmd, Inc. 1795 Main Street Suite 112 Springfield MA 01103 Ph: (413) 297-2379 |
| NPI Number | 1295396299 |
|---|---|
| Provider Enumeration Date | 06/21/2019 |
| Last Update Date | 06/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295396299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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