DR. John Roger Lake JR., D.D.S.

NPI #1952326027 in Osterville, Massachusetts

Provider Information

NPI Number
1952326027
Entity Type
Individual
Name
DR. John Roger Lake JR., D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Jul 12, 2006
Last Updated
May 26, 2015

Practice Location

Address
1322 MAIN ST
ZIP Code
02655-1542
Phone
(508) 428-4929

Specialties & Taxonomy Codes

Specialty
Dentist

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