Individual
IRVING RICHARDSON LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3474 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3406
(850) 932-0831
Mailing address
3474 GULF BREEZE PKWY, GULF BREEZE, FL 32563-3406
(850) 932-0831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN5890
FL
Other
Enumeration date
12/11/2006
Last updated
09/04/2007
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