Organization
JON P. LEBSACK, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE D. HODGE (OFFICE MANAGER)
(636) 239-7150
Entity
Organization
Contact information
Practice address
551 E 5TH ST, WASHINGTON, MO 63090-2903
(636) 239-7150
(636) 239-2685
Mailing address
551 E 5TH ST, WASHINGTON, MO 63090-2903
(636) 239-7150
(636) 239-2685
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
014793
MO
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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