Three Lakes Dental, P.c.

NPI #1497002216 in Tallassee, Alabama

Provider Information

NPI Number: 1497002216
Entity Type: Organization
Organization Name: Three Lakes Dental, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 10, 2012
Last Updated: Aug 10, 2012

Practice Location

Address: 1619 GILMER AVE
City: Tallassee
State: Alabama
ZIP Code: 36078-2313
Phone: (334) 252-9000

Authorized Official

Name: DR. ERIC S HARRIS, DMD
Title: OWNER, DENTIST
Phone: (334) 252-9000

Specialties & Taxonomy Codes

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

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