Provider Demographics
NPI:1073864476
Name:KOPSTEIN, LESLIE SILVERMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:SILVERMAN
Last Name:KOPSTEIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LESLIE
Other - Middle Name:
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:450 SUTTER ST RM 1610
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4005
Mailing Address - Country:US
Mailing Address - Phone:415-233-4402
Mailing Address - Fax:
Practice Address - Street 1:450 SUTTER ST RM 1610
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4005
Practice Address - Country:US
Practice Address - Phone:415-233-4402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46685122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist