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Organization
LAGOON DENTAL PLLC
Active
Organization
LAGOON DENTAL PLLC
Active
Other names
Lagoon Dental, Lagoon Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE R. LEBRECHT D.M.D. (OWNER)
(407) 782-5439
Entity
Organization
Contact information
Practice address
1853 KNOX MCRAE DR, TITUSVILLE, FL 32780-5492
(321) 267-2934
Mailing address
1853 KNOX MCRAE DR, TITUSVILLE, FL 32780-5492
(321) 267-2934
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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