Broline, Leslie Edward

Broline, Leslie Edward is an individual health care provider with primary practice located at 3508 Far West Blvd Ste 330, Austin TX 78731-3041. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Broline, Leslie Edward can be contacted via phone (512) 343-9488.

Contact Information

Primary practice address
3508 Far West Blvd Ste 330 Austin TX 78731-3041
Phone: (512) 343-9488
Fax: (512) 343-1062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 9766 Texas

Profile Details

NPI number 1154427029
LBN Legal business name Broline, Leslie Edward
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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