Individual
DR. JACK LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
440 FLAT SHOALS AVE SE, ATLANTA, GA 30316-1915
(404) 688-2223
(404) 688-6602
Mailing address
440 FLAT SHOALS AVE SE, ATLANTA, GA 30316-1915
(404) 688-2223
(404) 688-6602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010906
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000438666A
—
GA
Enumeration date
11/01/2006
Last updated
01/26/2012
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