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Organization
ROBERT B. LESTAGE, DDS, LLC
Active
Organization
ROBERT B. LESTAGE, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT B LESTAGE D.D.S. (DENTIST)
(337) 463-3272
Entity
Organization
Contact information
Practice address
509 BON AMI ST, DERIDDER, LA 70634-4925
(337) 463-3272
Mailing address
509 BON AMI ST, DERIDDER, LA 70634-4925
(337) 463-3272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6041
LA
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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