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Individual

DEAN DEARCAS LEMING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
625 CHARLOTTE STREET, TAPPAHANNOCK, VA 22560
(804) 443-3820
(804) 443-3855
Mailing address
PO BOX 186, TAPPAHANNOCK, VA 22560-0186
(804) 443-3820
(804) 443-3855

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412012
VA
1223G0001X
General Practice Dentistry
7454
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89902KM
NC
Enumeration date
10/19/2006
Last updated
02/20/2009
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