Individual
DR. QUINTARIAS TERELL LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
654 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9632
(763) 703-7529
Mailing address
654 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9632
(637) 703-7529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00000
GA
261QD0000X
Dental Clinic/Center
Primary
D14323
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
—
Enumeration date
05/30/2018
Last updated
01/27/2021
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