Steven Charrles Lakes

NPI #1376639963 in Colchester, Connecticut

Provider Information

NPI Number: 1376639963
Entity Type: Individual
Name: Steven Charrles Lakes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 151 BROADWAY
City: Colchester
State: Connecticut
ZIP Code: 06415
Phone: (860) 537-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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