Individual provider · Type 1 NPI

Leslie Edward Broline, DDS MS

Periodontics · Austin, TX

NPI number 1154427029 Active

Practice location

3508 Far West Blvd, Ste 330
Austin, TX 78731-3041

Call (512) 343-9488 Map

Fax (512) 343-1062

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X9766 (TX)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1154427029

Leslie Edward Broline, DDS MS's National Provider Identifier is 1154427029, issued on Sep 16, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.