Scott Anthony Lake DDS

NPI 1033340088 - Dentist - 1223G0001X

NPI Details
NPI 1033340088
Gender Male
Enumeration Date 08/06/2009
Last Updated 08/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
616 E MAIN
CHEWELAH WA, 99109, US
Phone (509) 935-8642
Fax
Business Location
PO BOX 347
CHEWELAH WA, 99109-0347, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Washington
License Number 60096083
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According to our database, Dr. Scott Anthony Lake DDS NPI is 1033340088, taxonomy code is 1223G0001X and license number is 60096083, license state is located at Washington. Scott Anthony Lake DDS physically located at 616 E Main, Chewelah WA, 99109. NPI Number Scott Anthony Lake DDS has the Individual type.

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1033340088 NPI number is provided on an as is basis without warranty of any kind. 1033340088 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Anthony Lake DDS are for informational purposes only.