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DR. CHRISTOPHER CHARLES LECLAIRE D.D.S

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1659341477

Individual Registrant:
DR. CHRISTOPHER CHARLES LECLAIRE D.D.S
Gender: M

Location and contact information for practice:
2104 MASSEY AVE NBHC MAYPORT MAYPORT, FL 32228 US
Tel: 904-270-4461  Fax: --

Contact information for business:
13858 INTRACOASTAL SOUND DR  JACKSONVILLE, FL 32224-1195 US
Tel: 904-220-3615  Fax: --

Registration Information:
NPI: 1659341477
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FL7921

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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