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1245078781
JUSTIN LE
JACKSONVILLE, FL
NPI
1245078781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 29371)
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
JUSTIN LE DMD
5753 BEACH BLVD STE 4
JACKSONVILLE, FL 32207-5128
Phone number: 904-441-1642
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Mailing Address
JUSTIN LE DMD
12248 ORANGE GROVE DR
JACKSONVILLE, FL 32223-1655
Phone number: 941-330-7967
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