Lakeside Dental
NPI #1447407739 in Moses Lake, Washington
Provider Information
- NPI Number
- 1447407739
- Entity Type
- Organization
- Organization Name
- Lakeside Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 19, 2008
- Last Updated
- Aug 19, 2008
Practice Location
- Address
- 1708 SOUTH CLOVER DRIVE
- City
- Moses Lake
- State
- Washington
- ZIP Code
- 98837
- Phone
- (509) 764-0307
Authorized Official
- Name
- LORI MUNSON
- Title
- OFFICE MANAGER
- Phone
- (509) 764-0307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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