Individual
DR. ASHLEY LEBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS038968
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
07/07/2011
Last updated
04/08/2016
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