DR. Matthew Joseph Lake, DMD

NPI #1063942456 in Castle Rock, Colorado

Provider Information

NPI Number: 1063942456
Entity Type: Individual
Name: DR. Matthew Joseph Lake, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 18, 2017
Last Updated: Jun 18, 2017

Practice Location

Address: 390 S WILCOX ST STE A
City: Castle Rock
State: Colorado
ZIP Code: 80104-1951
Phone: (303) 660-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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