DR. Robert Thomas Lesage JR., DDS

NPI #1831463355 in Dixon, Illinois

Provider Information

NPI Number: 1831463355
Entity Type: Individual
Name: DR. Robert Thomas Lesage JR., DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 1, 2012
Last Updated: Mar 1, 2012

Practice Location

Address: 815 N GALENA AVE
City: Dixon
State: Illinois
ZIP Code: 61021-1518
Phone: (815) 288-1418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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