Lake Dental Associates PC
NPI #1265511950 in Clear Lake, Iowa
Provider Information
- NPI Number
- 1265511950
- Entity Type
- Organization
- Organization Name
- Lake Dental Associates PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 3, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 102 N 5TH ST
- City
- Clear Lake
- State
- Iowa
- ZIP Code
- 50428-1803
- Phone
- (641) 357-4112
Authorized Official
- Name
- JASON T SKINNER, DDS
- Title
- PRESIDENT
- Phone
- (641) 357-4112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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