| NPI | 1528085271 |
|---|---|
| Other Name | LESAGE DENTAL CLINIC LTD |
| Entity Type | Organization |
| Authorized Contact | ROBERT THOMAS LESAGE Dentist 815-288-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 19A13394) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-10-22 |