MEDICARE: DR. LESTER BRYAN LIM DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	37577	CA

General Provider Information

NPI Number	:	1386742500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESTER BRYAN LIM DDS

Provider Business Mailing Address
First Line	:	230 HOSPITAL CIR
Second Line	:	SUITE B
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3995
Country	:	US
Telephone Number	:	714-898-5557
Fax Number	:	714-893-1020

Provider Business Practice Location Address
First Line	:	230 HOSPITAL CIR
Second Line	:	SUITE B
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3995
Country	:	US
Telephone Number	:	714-898-5557
Fax Number	:	714-893-1020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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