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Organization
ROBERT T. LESAGE
Active
Organization
ROBERT T. LESAGE
Active
Other names
lesage dental clinic ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT THOMAS LESAGE DDS (DENTIST)
(815) 288-1418
Entity
Organization
Contact information
Practice address
815 N GALENA AVE, DIXON, IL 61021-1518
(815) 288-1418
Mailing address
815 N GALENA AVE, DIXON, IL 61021-1518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A13394
IL
Other
Enumeration date
07/17/2006
Last updated
10/22/2012
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