institution
Cordell Lake, D.d.s., Llc
Dental Clinic/Center in Farmington, Missouri
NPI 1619446077

Cordell Lake, D.d.s., Llc is a Dental Clinic/Center based in Camdenton, MO and is specialized in Dental. Cordell Lake, D.d.s., Llc practices in Farmington, MO. The NPI Number for Cordell Lake, D.d.s., Llc is 1619446077 and holds a License No. (Missouri).

The current practice location address for Cordell Lake, D.d.s., Llc is 12 E Harrison St, Farmington, MO and can be reached out via phone at 573-756-4344.

Location: 12 E Harrison St, Farmington, MO, 65020-9377
institution
Provider Profile Details
NPI Number
1619446077
Provider Name
Cordell Lake, D.d.s., Llc
Credential
Provider Entity Type
Organization
Address
12 E Harrison St, Farmington, MO, 65020-9377
Phone Number
573-756-4344
Fax Number
Provider Enumeration Date
11/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12 E Harrison St
City
State
Zip
63640-1859
Phone Number
573-756-4344
Fax Number
person
Provider Business Mailing Address Details
Address
12 E Harrison St
City
State
Zip
63640-1859
Phone Number
573-756-4344
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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