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Individual

DR. LESTER C JOERN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6451 CHIPPEWA ST, SAINT LOUIS, MO 63109-2104
(314) 752-7468
(314) 752-5168
Mailing address
6451 CHIPPEWA ST, SAINT LOUIS, MO 63109-2104
(314) 752-7468
(314) 752-5168

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12510
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014487
AETNA DMO
MO
01
060020
FIRST COMMONWEALTH HMO
MO
01
103338
CIGNA DHMO
MO
01
15138
BCBS-MISSOURI
MO
01
17709
UNITED HEALTHCARE
MO
01
470104
COMPBENEFITS HMO
MO
01
519832
UNITED CONCORDIA
MO
01
CBAR1
BCBS-ARKANSAS
MO
01
V12510
BCBS - TEXAS
MO
Enumeration date
10/24/2006
Last updated
07/08/2007
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