Lakeshore Family Dental, P.c.
NPI #1053411645 in Michigan City, Indiana
Provider Information
- NPI Number
- 1053411645
- Entity Type
- Organization
- Organization Name
- Lakeshore Family Dental, P.c.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1232 E MICHIGAN BLVD
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-4856
- Phone
- (219) 872-2116
Authorized Official
- Name
- DR. VIDAS THOMAS NOREIKA, D.D.S.
- Title
- PRESIDENT
- Phone
- (219) 872-2116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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