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Individual

DR. LESTER LEE TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
1518 S 3RD ST, XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX, TERRE HAUTE, IN 47802-1012
(812) 232-2557
Mailing address
819 N DAN JONES RD, XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX, PLAINFIELD, IN 46168-9631
(317) 838-7260

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007184A
IN

Other

Enumeration date
10/23/2006
Last updated
01/29/2008
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