Vredenburg-Leslie Dentistry PLC

Organization Active NPI General Practice Dentistry · Leslie, MI

NPI 1306070495 · NPPES record last updated May 5, 2009

Key facts

NPI
1306070495
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
2901016925 (MI)
Legal business name
VREDENBURG-LESLIE DENTISTRY PLC
Practice address
126 N Main St
Leslie, MI 49251-9426
Phone
(517) 589-5400
NPI assigned
May 5, 2009
Organization subpart
No

Authorized official

Name
Dr. Martin Vredenburg
Title
President
Phone
(517) 589-5400

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 2901016925 MI Yes

Addresses

Primary practice location

126 N Main St
Leslie, MI 49251-9426

Mailing address

126 N Main St
Leslie, MI 49251-9426

Other names

  • Leslie Family Dentistry Doing business as

Other providers in Leslie, MI

All providers in Leslie, MI · General Practice Dentistry in Michigan

Sources for this page

Verify at the official NPI Registry.