Jacob S Lake DDS Ltd
NPI #1134389208 in Buffalo Grove, Illinois
Provider Information
- NPI Number
- 1134389208
- Entity Type
- Organization
- Organization Name
- Jacob S Lake DDS Ltd
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 12, 2008
- Last Updated
- Dec 30, 2011
Practice Location
- Address
- 15 E DUNDEE RD
- City
- Buffalo Grove
- State
- Illinois
- ZIP Code
- 60089-4383
- Phone
- (847) 229-1700
Authorized Official
- Name
- JACOB S LAKE, DDS
- Title
- OWNER
- Phone
- (847) 229-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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