Provider Demographics
NPI:1548507700
Name:ZACHARY J. LESTER. D.M.D., PS CORP
Entity type:Organization
Organization Name:ZACHARY J. LESTER. D.M.D., PS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LESTER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:253-851-6771
Mailing Address - Street 1:7117 STINSON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-4902
Mailing Address - Country:US
Mailing Address - Phone:253-851-6771
Mailing Address - Fax:
Practice Address - Street 1:7117 STINSON AVE STE A
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-4902
Practice Address - Country:US
Practice Address - Phone:253-851-6771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60225178261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental