LANCE E LESLIE

CHICAGO, IL
NPI1346974581
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.033899)
Additional Taxonomies122300000X Dentist
(Licence: IL  019033899)
Enumeration Date2022-07-13
Last Update Date2022-10-26
Business Address
Dr. LANCE E LESLIE DMD, MPH
641 W 63RD ST
CHICAGO, IL 60621-2032
Phone number: 773-388-1600
Mailing Address
Dr. LANCE E LESLIE DMD, MPH
641 W 63RD ST
CHICAGO, IL 60621-2032
Phone number: 773-388-1600