Individual
DR. DAVID MICHAEL LEBSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
3105 FREDERICK AVE STE A, SUITE #A, SAINT JOSEPH, MO 64506-3074
(816) 279-2435
(816) 279-7426
Mailing address
3105 FREDERICK AVE STE A, SUITE #A, SAINT JOSEPH, MO 64506-3074
(816) 279-2435
(816) 279-7426
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
013071
MO
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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