John F Lake DDS & Deborah Starr

NPI #1487862009 in Ontario, Oregon

Provider Information

NPI Number: 1487862009
Entity Type: Organization
Organization Name: John F Lake DDS & Deborah Starr
Primary Specialty: Dentist - General Practice
Enumeration Date: May 18, 2007
Last Updated: Jan 26, 2016

Practice Location

Address: 286 SW 4TH ST
City: Ontario
State: Oregon
ZIP Code: 97914-2610
Phone: (541) 889-7050

Authorized Official

Name: DR. JOHN F LAKE, DDS
Title: PRESIDENT
Phone: (541) 889-7050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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