DR. Jimmie Dwight Lassiter JR., DMD

NPI #1730128869 in Jay, Florida

Provider Information

NPI Number: 1730128869
Entity Type: Individual
Name: DR. Jimmie Dwight Lassiter JR., DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5285 COMMERCE ST
City: Jay
State: Florida
ZIP Code: 32565-1179
Phone: (850) 675-8545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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