Organization
JON DOUGLAS LESAN DDS RPH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON DOUGLAS LESAN DDS RPH PA (OWNER DENTIST)
(910) 347-1211
Entity
Organization
Contact information
Practice address
123 COBIA CT, JACKSONVILLE, NC 28546-6862
(910) 347-1211
(910) 347-0765
Mailing address
123 COBIA CT, JACKSONVILLE, NC 28546-6862
(910) 347-1211
(910) 347-0765
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NC
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
12/04/2006
Last updated
03/07/2023
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