NPI | 1912002726 |
---|---|
Former Name | LESLEE SINGLETON LANCASTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 7630) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IA DDS-10067) |
1223P0221X Dentist, Pediatric Dentistry (Licence: TX 17882) | |
Enumeration Date | 2006-09-14 |
Last Update Date | 2025-01-09 |