Gaston, David Lee

Gaston, David Lee is an sole proprietor health care provider with primary practice located at 2634 Grand Ave Suite 204, Waukegan IL 60085-2458. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gaston, David Lee can be contacted via phone (847) 249-0046.

Contact Information

Primary practice address
2634 Grand Ave Suite 204 Waukegan IL 60085-2458
Phone: (847) 249-0046
Fax: (847) 249-1035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 019.018320 Illinois

Profile Details

NPI number 1851502033
LBN Legal business name Gaston, David Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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