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General NPI Number Information
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NPI Number | 1972708683
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Entity Type | Organization
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Legal Business Name | LESTER YAMASHITA DDS INC.
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2969 SALVIO ST
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City | CONCORD
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State | CA
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Zip | 94519-2534
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Country | US
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Telephone | 925-685-5296
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Fax | 925-798-0401
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Provider Business Mailing Address
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Address Line | 2969 SALVIO ST
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City | CONCORD
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State | CA
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Zip | 94519-2534
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Country | US
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Telephone | 925-685-5296
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Fax | 925-798-0401
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Authorized Official
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Title or Position | PRESIDENT DENTIST
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Name | DR. LESTER TAKESHI YAMASHITA
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Credential | D.D.S.
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Telephone | 925-685-5296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 45060
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License Number State | CA
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