Laker Dental

NPI #1053612226 in Somerset, Kentucky

Provider Information

NPI Number: 1053612226
Entity Type: Organization
Organization Name: Laker Dental
Primary Specialty: Dentist
Enumeration Date: Nov 4, 2010
Last Updated: Nov 4, 2010

Practice Location

Address: 54 IMAGING DR
City: Somerset
State: Kentucky
ZIP Code: 42503-2871
Phone: (606) 451-2273

Authorized Official

Name: DR. ROBERT BRIAN GRIPPE, DMD
Title: OWNER
Phone: (606) 451-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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