Leslie Andujar, DDS
Dentist, General Practice in Lake Mary, FL. Individual provider (NPI-1).
NPI number1508554262
StatusActive
Last updated in NPPESSep 14, 2023
Details
- NPI
- 1508554262
- Entity type
- Individual (NPI-1)
- Name
- Leslie Andujar
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2023
- Certification date
- Sep 14, 2023
- Last updated
- Sep 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | dn28333 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3779 Lake Emma RdLake Mary, FL 32746-6156
Phone 407-547-1359
Mailing address
622 W 168th StNew York, NY 10032-3720
Phone 212-305-6100
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