DR. MARK LAKE, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1356479539
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 2006014707 (MO) |
Frequently Asked Questions
NPI 1356479539 is the National Provider Identifier for DR. MARK LAKE, D.D.S., a Dentist - General Practice provider located in Osage Beach, MO. This NPI was enumerated on March 1, 2007.
DR. MARK LAKE, D.D.S. practices at 1037 PALISADES BLVD, STE 9, Osage Beach, MO 65065.
Quick Facts
- NPI
- 1356479539
- Type
- Individual
- Enumerated
- Mar 1, 2007
- Last Updated
- Jul 8, 2007
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