DR. Mark S. Lake, D.D.S.
NPI #1356479539 in Osage Beach, Missouri
Provider Information
- NPI Number
- 1356479539
- Entity Type
- Individual
- Name
- DR. Mark S. Lake, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1037 PALISADES BLVD
- Address 2
- STE 9
- City
- Osage Beach
- State
- Missouri
- ZIP Code
- 65065-3340
- Phone
- (573) 348-9888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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