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General NPI Number Information
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NPI Number | 1548507700
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Entity Type | Organization
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Legal Business Name | ZACHARY J. LESTER. D.M.D., PS CORP
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Dates
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Enumeration Date | 01/08/2013
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 7117 STINSON AVE STE A
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City | GIG HARBOR
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State | WA
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Zip | 98335-4902
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Country | US
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Telephone | 253-851-6771
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Fax |
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Provider Business Mailing Address
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Address Line | 7117 STINSON AVE STE A
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City | GIG HARBOR
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State | WA
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Zip | 98335-4902
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Country | US
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Telephone | 253-851-6771
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Fax |
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Authorized Official
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Title or Position | DR
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Name | DR. ZACHARY J LESTER
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Credential | DMD
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Telephone | 253-851-6771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DE60225178
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License Number State | WA
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