DR. John Campbell Lake JR., D.M.D.
NPI #1215263017 in Newberry, South Carolina
Provider Information
- NPI Number
- 1215263017
- Entity Type
- Individual
- Name
- DR. John Campbell Lake JR., D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Oct 29, 2009
- Last Updated
- Apr 18, 2016
Practice Location
- Address
- 2706 MAIN ST
- City
- Newberry
- State
- South Carolina
- ZIP Code
- 29108-4004
- Phone
- (803) 276-2090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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