Provider Demographics
NPI:1427216803
Name:GIL, LESTER O (DDS)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:O
Last Name:GIL
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 1:963 N KROME AVE.
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030
Mailing Address - Country:US
Mailing Address - Phone:305-247-5161
Mailing Address - Fax:305-503-7253
Practice Address - Street 1:963 N KROME AVE.
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030
Practice Address - Country:US
Practice Address - Phone:305-247-5161
Practice Address - Fax:305-503-7253
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18301122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist