Search › Idaho › 1223G0001X
Leslie Wagner
NPI 1639699036 · on the registry since 2017
Practice
- Address
- 1212 N Cole Rd
Boise, ID 83704 - Phone
- (208) 901-7451
- Organisation at this address
- Art Dental
Blanchard Dds Pc
Hd Boise Dental, Llc
Jason Champagne Idaho 2, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 8850 W Emerald St Ste 150, Boise, ID
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
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 Idaho