Lakeshore Family Dentistry Inc

NPI 1083783419 - Dentist - 1223G0001X

NPI Details
NPI 1083783419
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KRISTIE LEAH KRISTIE
Position OWNER DENTIST
Phone (985) 643-1852
Fax (985) 643-1845
Practice Location
720 ROBERT BOULEVARD
SLIDELL LA, 70458, US
Phone (985) 643-1852
Fax (985) 643-1845
Business Location
720 ROBERT BOULEVARD
SLIDELL LA, 70458, US
Phone (985) 643-1852
Fax (985) 643-1845
Toxanomy
Taxonomy Code 1223G0001X
License State Louisiana
License Number 5503
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According to our database, Lakeshore Family Dentistry Inc NPI is 1083783419, taxonomy code is 1223G0001X and license number is 5503, license state is located at Louisiana. Lakeshore Family Dentistry Inc physically located at 720 Robert Boulevard, Slidell LA, 70458. NPI Number 1033115704 has the healthcare provider type.

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1083783419 NPI number is provided on an as is basis without warranty of any kind. 1083783419 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeshore Family Dentistry Inc are for informational purposes only.