Provider Demographics
NPI:1265451041
Name:LESTER, DAVID GARY (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GARY
Last Name:LESTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 E CHAPMAN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-2138
Mailing Address - Country:US
Mailing Address - Phone:714-532-6711
Mailing Address - Fax:714-532-6764
Practice Address - Street 1:1043 E CHAPMAN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-2138
Practice Address - Country:US
Practice Address - Phone:714-532-6711
Practice Address - Fax:714-532-6764
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37442122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist