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NPI Code Detail

MEDICARE: LESLIE J. PARIS, D.D.S.,M.S.D.,P.C.

MEDICARE: LESLIE J. PARIS, D.D.S.,M.S.D.,P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics6999CO

General Provider Information

NPI Number : 1881794550
Entity Type Code : Organization
Provider Name (Legal Business Name) : LESLIE J. PARIS, D.D.S.,M.S.D.,P.C.
Provider Business Mailing Address
First Line : 4033 BOARDWALK DR UNIT 100
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5937
Country : US
Telephone Number : 970-207-4061
Fax Number :
Provider Business Practice Location Address
First Line : 4033 BOARDWALK DR UNIT 100
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-5937
Country : US
Telephone Number : 970-207-4061
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. LESLIE JANE PARIS
Credential : D.D.S., M.S.D.
Telephone Number : 970-207-4061
Provider Enumeration Date : 09/23/2006
Last Update Date : 08/22/2020

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Directions to “LESLIE J. PARIS, D.D.S.,M.S.D.,P.C. ” Practice Location

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