Individual
DR. LESTER RAY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2607 CLEVELAND STREET, ELLOREE, SC 29047
(803) 897-2580
Mailing address
PO BOX 80, ELLOREE, SC 29047
(803) 897-2580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1817
SC
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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