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1639723935
LESLIE JEAN DAVIS-GROOM
TEMPLE HILLS, MD
NPI
1639723935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: MD 11819)
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
LESLIE JEAN DAVIS-GROOM
5859 ALLENTOWN WAY
TEMPLE HILLS, MD 20748-2613
Phone number: 301-615-0940
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Mailing Address
LESLIE JEAN DAVIS-GROOM
7120 E CEDAR ST
LANDOVER, MD 20785-5217
Phone number: 301-377-3998
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