Individual
BRET LESAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1352 SOUTH ST # C4, PHILADELPHIA, PA 19147-1858
(267) 909-9551
Mailing address
3581 STURBRIDGE PL, ALLENTOWN, PA 18104-1776
(484) 695-9512
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS042610
PA
Other
Enumeration date
02/16/2019
Last updated
07/01/2021
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