Individual
DR. JON DOUGLAS LESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS RPH PA
Contact information
Practice address
200 PRESTON RD, SUITE A, JACKSONVILLE, NC 28540
(910) 347-1211
(910) 347-0765
Mailing address
123 COBIA CT, SUITE A, JACKSONVILLE, NC 28546-6862
(910) 347-1211
(910) 347-0765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC5865
NC
Other
Enumeration date
12/04/2006
Last updated
03/07/2023
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