MICAH GENE-LAUREN LESLIE

FORT DEFIANCE, AZ
NPI1598493918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: NM  Dh5106)
Enumeration Date2022-08-12
Last Update Date2024-11-20
Business Address
MICAH GENE-LAUREN LESLIE RDH
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8000
Mailing Address
MICAH GENE-LAUREN LESLIE RDH
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number:
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