Lake City Dental Clinic

NPI #1376143081 in Lake City, Colorado

Provider Information

NPI Number
1376143081
Entity Type
Organization
Organization Name
Lake City Dental Clinic
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 30, 2020
Last Updated
Oct 30, 2020

Practice Location

Address
700 N HENSON ST
ZIP Code
81235-5134
Phone
(970) 944-2331

Authorized Official

Name
JESSICA WHIDDON
Title
EXECUTIVE DIRECTOR
Phone
(970) 944-2331

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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