Lake Dental Associates Pc

NPI 1265511950 - Dentist - 1223G0001X

NPI Details
NPI 1265511950
Enumeration Date 11/03/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JASON T JASON
Position PRESIDENT
Phone (641) 357-4112
Fax (641) 357-0670
Practice Location
102 N 5TH ST
CLEAR LAKE IA, 50428-1803, US
Phone (641) 357-4112
Fax (641) 357-0670
Business Location
102 N 5TH ST
CLEAR LAKE IA, 50428-1803, US
Phone (641) 357-4112
Fax (641) 357-0670
Toxanomy
Taxonomy Code 1223G0001X
License State Iowa
License Number =========
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According to our database, Lake Dental Associates Pc NPI is 1265511950, taxonomy code is 1223G0001X and license number is =========, license state is located at Iowa. Lake Dental Associates Pc physically located at 102 N 5th St, Clear Lake IA, 50428-1803. NPI Number 1033115704 has the healthcare provider type.

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1265511950 NPI number is provided on an as is basis without warranty of any kind. 1265511950 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Dental Associates Pc are for informational purposes only.