| NPI | 1437387651 |
|---|---|
| Former Name | LESLIE YVONNE SCRUGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 24756) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 24756) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2014-09-26 |