Organization
LESIA LANGSTON-MCKENNA, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESIA J LANGSTON-MCKENNA DMD (PRESIDENT)
(937) 393-1472
Entity
Organization
Contact information
Practice address
321 CHILLICOTHE AVE, HILLSBORO, OH 45133-7378
(937) 393-1472
(937) 393-4824
Mailing address
PO BOX 400, HILLSBORO, OH 45133-0400
(937) 393-1472
(937) 393-4824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31-017770
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0574481
—
OH
Enumeration date
08/15/2011
Last updated
08/15/2011
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