Provider Demographics
NPI:1386742500
Name:LIM, LESTER BRYAN (DDS)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:BRYAN
Last Name:LIM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:230 HOSPITAL CIR
Mailing Address - Street 2:SUITE B
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3995
Mailing Address - Country:US
Mailing Address - Phone:714-898-5557
Mailing Address - Fax:714-893-1020
Practice Address - Street 1:230 HOSPITAL CIR
Practice Address - Street 2:SUITE B
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3995
Practice Address - Country:US
Practice Address - Phone:714-898-5557
Practice Address - Fax:714-893-1020
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA375771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice