Organization
LESH & COMPANY PLLC
Active
Other names
Southern Trace Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DONNIE LESH D.M.D. (MANAGER)
(352) 751-5777
Entity
Organization
Contact information
Practice address
3495 WEDGEWOOD LN, THE VILLAGES, FL 32162-7184
(352) 751-5777
Mailing address
3495 WEDGEWOOD LN, THE VILLAGES, FL 32162-7184
(352) 751-5777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15201
FL
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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