| John L Lesneski Dds Plc | |
|
508 W Lake St Tawas City MI 48763-5106 | |
| (989) 362-6159 | |
| (989) 362-6798 |
| Full Name | John L Lesneski Dds Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 508 W Lake St, Tawas City, Michigan |
| Authorized Official Name and Position | John L Lesneski (OWNER) |
| Authorized Official Contact | 9893626159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John L Lesneski Dds Plc P.o. Box 387 508 W. Lake Street Tawas City MI 48764-0387 Ph: (989) 362-6159 | John L Lesneski Dds Plc 508 W Lake St Tawas City MI 48763-5106 Ph: (989) 362-6159 |
| NPI Number | 1003115031 |
|---|---|
| Provider Enumeration Date | 03/16/2011 |
| Last Update Date | 03/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003115031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19332 (Michigan) | Primary |
Phillip A Wienczewski Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 671 E M 55, Tawas City, MI 48763 Phone: 989-984-0560 Fax: 989-984-0562 |