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Search › Tennessee › Pediatric Dentistry

Leslie Wallace, DMD

NPI 1629301833 · on the registry since 2009 · sole proprietor

Practice

Address
103 Physicians Way
Suite 150
Lebanon, TN 37090
Phone
(859) 948-0386
Organisation at this address
Tennessee Oncology Pllc
Lebanon Pet Scan Center, Llc
Pediatric Dentistry Of Lebanon,Pllc
Tennessee Oncology Pharmacy Dispensing
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee