NPI | 1528211802 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD ALLAN LESTER Owner/President 314-837-1945 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 13604) |
Enumeration Date | 2008-10-30 |
Last Update Date | 2008-10-30 |