Individual
DR. ROBERT THOMAS LESAGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
815 N GALENA AVE, DIXON, IL 61021-1518
(815) 288-1418
Mailing address
815 N GALENA AVE, DIXON, IL 61021-1518
(815) 288-1418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19A13394
IL
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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