Provider Demographics
NPI:1801915541
Name:GOLDSTEIN, DAVID LESTER (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LESTER
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:7651 ASHLEY PARK CT # C
Mailing Address - Street 2:SUITE 410
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-6114
Mailing Address - Country:US
Mailing Address - Phone:407-295-5437
Mailing Address - Fax:407-295-1280
Practice Address - Street 1:7651 ASHEY PARK COURT C
Practice Address - Street 2:SUITE 410
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-6114
Practice Address - Country:US
Practice Address - Phone:407-295-5437
Practice Address - Fax:407-295-1280
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL114501223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry