Lakeshore Family Dentistry INC

NPI #1083783419 in Slidell, Louisiana

Provider Information

NPI Number: 1083783419
Entity Type: Organization
Organization Name: Lakeshore Family Dentistry INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 720 ROBERT BOULEVARD
City: Slidell
State: Louisiana
ZIP Code: 70458
Phone: (985) 643-1852

Authorized Official

Name: DR. KRISTIE LEAH REINE, DDS
Title: OWNER DENTIST
Phone: (985) 643-1852

Specialties & Taxonomy Codes

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

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