| NPI | 1952775793 |
|---|---|
| Former Legal Business Name | LESTER C JOERN JR DDS PC |
| Entity Type | Organization |
| Authorized Contact | TYLER M AHOLT Owner 314-752-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2012015662) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |