Fullerton, Leslie
Fullerton, Leslie is an individual health care provider with primary practice located at 2255 N Loop 336 W Ste D , Conroe TX 77304-3632. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Fullerton, Leslie can be contacted via phone (936) 756-1951.Contact Information
Primary practice address
2255 N Loop 336 W Ste D
Conroe TX 77304-3632
Phone: (936) 756-1951
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 19458 | Texas |
Profile Details
| NPI number | 1437311909 |
|---|---|
| LBN Legal business name | Fullerton, Leslie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2008 |
| Last updated | Jun 26th, 2008 - about 16 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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