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Organization
JON DOUGLAS LESAN DDS RPH PA
Active
Organization
JON DOUGLAS LESAN DDS RPH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON DOUGLAS LESAN DDS RPH PA (OWNER DENTIST)
(910) 347-1211
Entity
Organization
Contact information
Practice address
123 COBIA CT, JACKSONVILLE, NC 28546-6862
(910) 347-1211
(910) 347-0765
Mailing address
123 COBIA CT, JACKSONVILLE, NC 28546-6862
(910) 347-1211
(910) 347-0765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
12/04/2006
Last updated
03/07/2023
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