Deborah Starr Lake, DDS

NPI #1750495180 in Ontario, Oregon

Provider Information

NPI Number: 1750495180
Entity Type: Individual
Name: Deborah Starr Lake, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 19, 2006
Last Updated: Jul 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

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

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