Lake Family Dentistry
NPI #1457514259 in Osage Beach, Missouri
Provider Information
- NPI Number
- 1457514259
- Entity Type
- Organization
- Organization Name
- Lake Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 2, 2008
- Last Updated
- Jul 2, 2008
Practice Location
- Address
- 1037 PALISADES BLVD STE 9
- City
- Osage Beach
- State
- Missouri
- ZIP Code
- 65065
- Phone
- (573) 348-9888
Authorized Official
- Name
- DR. MARK S LAKE, DDS
- Title
- DENTIST
- Phone
- (573) 348-9888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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