| NPI | 1649575465 |
|---|---|
| Doing Business As | NATHAN R. LESTER DMD PC |
| Entity Type | Organization |
| Authorized Contact | NATHAN R LESTER Owner 307-789-5608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WY 1131) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WY 1250) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: WY 1257) | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: WY 1202) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |