| NPI | 1083247480 |
|---|---|
| Doing Business As | GENERAL DENTISTRY OF PETALUMA, ANASTASIA LESTER, DDS |
| Entity Type | Organization |
| Authorized Contact | ANASTASIA LESTER President, CEO 707-228-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |