Provider Demographics
NPI:1528769031
Name:ROBLES-PEREZ, LESLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:LESLEY
Middle Name:
Last Name:ROBLES-PEREZ
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 1:6710 N LOOP 1604 E APT 2210
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-5017
Mailing Address - Country:US
Mailing Address - Phone:956-874-9807
Mailing Address - Fax:
Practice Address - Street 1:1659 STATE HIGHWAY 46 W STE 180
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78132-4746
Practice Address - Country:US
Practice Address - Phone:830-625-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX406011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice