Individual
DR. DEMETRICK WAYNE LECORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
2130 SW 22ND PL # 101, OCALA, FL 34474-7065
(352) 291-9360
(352) 291-9363
Mailing address
2130 SW 22ND PL # 101, OCALA, FL 34474-7065
(352) 291-9360
(352) 291-9363
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN16008
FL
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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