Individual
MR. JOE NATHAN LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1217 ROYAL DR SW, CONYERS, GA 30094-5967
(770) 922-6655
(770) 388-0521
Mailing address
1217 ROYAL DR SW, CONYERS, GA 30094-5967
(770) 922-6655
(770) 388-0521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000287955H
—
GA
Enumeration date
10/17/2006
Last updated
07/08/2007
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