Nicholas Lessenevitch, D.D.S. Valid NPI

Individual provider · Dentist · California City, CA

NPI

1891854733

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

28189 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-12-06

Last updated

2007-07-08