Individual
BRIAN P LESAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
436 N ROXBURY DR, SUITE 100, BEVERLY HILLS, CA 90210
(310) 276-2468
(310) 276-1018
Mailing address
436 N ROXBURY DR, SUITE 100, BEVERLY HILLS, CA 90210-5026
(310) 276-2468
(310) 276-1018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032575
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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