DR. Jerry Joseph Lebeda JR., DDS
NPI #1609922863 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1609922863
- Entity Type
- Individual
- Name
- DR. Jerry Joseph Lebeda JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jan 28, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 19 HERITAGE DR
- Address 2
- SUITE 207
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-1369
- Phone
- (815) 933-3479
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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