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:
Health care specialties
| Specialty | Code | License # | 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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