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Lakeshore Pediatric Dentistry Pllc
Pediatric Dentist in Peru, New York
NPI 1114586625

Lakeshore Pediatric Dentistry Pllc is a Pediatric Dentist based in Peru, NY and is specialized in Pediatric Dentistry. Lakeshore Pediatric Dentistry Pllc practices in Peru, NY. The NPI Number for Lakeshore Pediatric Dentistry Pllc is 1114586625 and holds a License No. (New York).

The current practice location address for Lakeshore Pediatric Dentistry Pllc is 2993 Main St Ste 2, Peru, NY and can be reached out via phone at 518-282-5519.

Location: 2993 Main St Ste 2, Peru, NY, 12972-2927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114586625
Provider Name
Lakeshore Pediatric Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
2993 Main St Ste 2, Peru, NY, 12972-2927
Phone Number
518-282-5519
Fax Number
Provider Enumeration Date
06/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2993 Main St Ste 2
City
Peru
State
New York
Zip
12972-2927
Phone Number
518-282-5519
Fax Number
person
Provider Business Mailing Address Details
Address
2993 Main St Ste 2
City
Peru
State
New York
Zip
12972-2927
Phone Number
518-282-5519
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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