Everet Lake

NPI #1184792657 in Zephyrhills, Florida

Provider Information

NPI Number
1184792657
Entity Type
Individual
Name
Everet Lake
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4924 S. ALLEN ROAD
State
Florida
ZIP Code
33541
Phone
(813) 779-8591

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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