Provider Demographics
NPI:1891834271
Name:SCLAFINI, LESLIE DENISE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LESLIE
Middle Name:DENISE
Last Name:SCLAFINI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 W CROSSVILLE RD
Mailing Address - Street 2:SUITE 148
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-2697
Mailing Address - Country:US
Mailing Address - Phone:404-545-1667
Mailing Address - Fax:
Practice Address - Street 1:685 W CROSSVILLE RD
Practice Address - Street 2:SUITE 148
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-2697
Practice Address - Country:US
Practice Address - Phone:404-545-1667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0132031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice