Lakeshore Pediatric Dentistry Pllc

NPI #1114586625 in Peru, New York

Provider Information

NPI Number
1114586625
Entity Type
Organization
Organization Name
Lakeshore Pediatric Dentistry Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jun 8, 2019
Last Updated
Jun 8, 2019

Practice Location

Address
2993 MAIN ST STE 2
City
Peru
ZIP Code
12972-2927
Phone
(518) 282-5519

Authorized Official

Name
COLLEEN MARIE LACOMBE-SENECAL, DDS
Title
PEDIATRIC DENTIST/OWNER
Phone
(518) 578-5295

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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