Lekavich Dental Corporation

NPI #1013118686 in Redondo Beach, California

Provider Information

NPI Number: 1013118686
Entity Type: Organization
Organization Name: Lekavich Dental Corporation
Primary Specialty: Dentist
Enumeration Date: May 30, 2007
Last Updated: Oct 3, 2007

Practice Location

Address: 217 PALOS VERDES BLVD
Address 2: #105
City: Redondo Beach
State: California
ZIP Code: 90277-5820
Phone: (310) 373-5616

Authorized Official

Name: TIMOTHY FLORAN LEKAVICH, D.D.S.
Title: PRESIDENT
Phone: (310) 373-5616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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