DR. Charleen J Lake, DDS

NPI #1336418458 in Hinsdale, Illinois

Provider Information

NPI Number: 1336418458
Entity Type: Individual
Name: DR. Charleen J Lake, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 19, 2011
Last Updated: Dec 19, 2011

Practice Location

Address: 321 N ADAMS ST
City: Hinsdale
State: Illinois
ZIP Code: 60521-3127
Phone: (630) 323-4971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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