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Lake Road Dental Llc
Dental Clinic/Center in Dillingham, Alaska
NPI 1174016737

Lake Road Dental Llc is a Dental Clinic/Center based in Dillingham, AK and is specialized in Dental. Lake Road Dental Llc practices in Dillingham, AK. The NPI Number for Lake Road Dental Llc is 1174016737 and holds a License No. (Alaska).

The current practice location address for Lake Road Dental Llc is 4622 Shannon Lake Rd, Dillingham, AK and can be reached out via phone at 907-842-2324. You can also correspond with Lake Road Dental Llc through the mailing address at PO BOX 969, DILLINGHAM, AK - 99576-0969 (mailing address contact number: 907-842-2324).

Location: 4622 Shannon Lake Rd, Dillingham, AK, 99576-0969
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174016737
Provider Name
Lake Road Dental Llc
Credential
Provider Entity Type
Organization
Address
4622 Shannon Lake Rd, Dillingham, AK, 99576-0969
Phone Number
907-842-2324
Fax Number
Provider Enumeration Date
06/08/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4622 Shannon Lake Rd
City
Dillingham
State
Alaska
Zip
99576
Phone Number
907-842-2324
Fax Number
person
Provider Business Mailing Address Details
Address
4622 Shannon Lake Rd
City
Dillingham
State
Alaska
Zip
99576
Phone Number
907-842-2324
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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