Organization
JIMMIE D LASSITER DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM LASSITER DMD (OWNER)
(850) 675-8545
Entity
Organization
Contact information
Practice address
5285 COMMERCE ST, JAY, FL 32565-1179
(850) 675-8545
Mailing address
5285 COMMERCE ST, JAY, FL 32565-1179
(850) 675-8545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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