Lake Dental Clinic LLC

NPI #1720141849 in Camdenton, Missouri

Provider Information

NPI Number
1720141849
Entity Type
Organization
Organization Name
Lake Dental Clinic LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 19, 2006
Last Updated
Apr 24, 2008

Practice Location

Address
1497 N STATE HIGHWAY 5
ZIP Code
65020
Phone
(573) 346-7278

Authorized Official

Name
VERNON DALE MCELWEE, DDS
Title
OWNER
Phone
(573) 346-7278

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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