Individual
DR. ANDRE MARQUETTE LEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1401 N PALAFOX ST, PENSACOLA, FL 32501-2642
(850) 434-1964
Mailing address
1401 N PALAFOX ST, PENSACOLA, FL 32501-2642
(850) 434-1964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17549
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN17549
DENTAL LICENSE
FL
Enumeration date
07/11/2007
Last updated
01/05/2019
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