| Lester Dental Corporation | |
|
135 Keller St Ste F Petaluma CA 94952-2312 | |
| (707) 778-6006 | |
| Not Available |
| Full Name | Lester Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 135 Keller St Ste F, Petaluma, California |
| Authorized Official Name and Position | Anastasia Lester (PRESIDENT, CEO) |
| Authorized Official Contact | 7072287001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lester Dental Corporation 135 Keller St Ste F Petaluma CA 94952-2312 Ph: (707) 778-6006 | Lester Dental Corporation 135 Keller St Ste F Petaluma CA 94952-2312 Ph: (707) 778-6006 |
| NPI Number | 1083247480 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 02/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083247480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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