LAKE CITY DENTAL SPECIALTIES, PC
Dentist - Periodontics
Active
Organization
NPI: 1356693915
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Endodontics | 1223E0200X | No | D4420EN (ID) |
| Dentist - Periodontics | 1223P0300X | Yes | D4420PE (ID) |
Frequently Asked Questions
NPI 1356693915 is the National Provider Identifier for LAKE CITY DENTAL SPECIALTIES, PC, a Dentist - Periodontics provider located in Coeur D Alene, ID. This NPI was enumerated on October 7, 2012.
Quick Facts
- NPI
- 1356693915
- Type
- Organization
- Enumerated
- Oct 7, 2012
- Last Updated
- Oct 7, 2012
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