Provider Demographics
NPI:1245833227
Name:ALMANZAR, LESLY (HYGIENIST)
Entity type:Individual
Prefix:MRS
First Name:LESLY
Middle Name:
Last Name:ALMANZAR
Suffix:
Gender:F
Credentials:HYGIENIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4756 N CONGRESS AVE # 2
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-7951
Mailing Address - Country:US
Mailing Address - Phone:561-868-0900
Mailing Address - Fax:
Practice Address - Street 1:4756 N CONGRESS AVE # 2
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-7951
Practice Address - Country:US
Practice Address - Phone:561-868-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH26176124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist