Individual
DR. BRIAN LEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10095 BEACH BLVD STE 150, JACKSONVILLE, FL 32246-4774
(904) 647-2050
Mailing address
10095 BEACH BLVD STE 150, JACKSONVILLE, FL 32246-4774
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20208
FL
Other
Enumeration date
06/26/2013
Last updated
03/11/2015
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