Individual
DR. NATHAN REN LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
50 PARK RD, EVANSTON, WY 82930-2613
(307) 789-5608
(307) 789-4401
Mailing address
50 PARK RD, EVANSTON, WY 82930-2613
(307) 789-5608
(307) 789-4401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1131
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121276100
—
WY
Enumeration date
11/13/2006
Last updated
10/13/2014
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