Provider Demographics
NPI:1225285307
Name:FINA, LESLIE JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:JOHN
Last Name:FINA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:BURGESS
Mailing Address - State:VA
Mailing Address - Zip Code:22432-0277
Mailing Address - Country:US
Mailing Address - Phone:804-453-3101
Mailing Address - Fax:804-453-3450
Practice Address - Street 1:746 JESSIE DUPONT MEMORIAL HIGHWAY
Practice Address - Street 2:
Practice Address - City:BURGESS
Practice Address - State:VA
Practice Address - Zip Code:22432-0277
Practice Address - Country:US
Practice Address - Phone:804-453-3101
Practice Address - Fax:804-453-3450
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023839001223G0001X
VA04014134311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice