VALERIE E LAKE, DDS, LLC

FORT WAYNE, IN
NPI1053062430
Entity TypeOrganization
Authorized ContactVALERIE E LAKE
Member
260-432-1579
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2022-01-17
Last Update Date2022-03-08
Business Address
VALERIE E LAKE, DDS, LLC
6211 COVINGTON RD
FORT WAYNE, IN 46804-7311
Phone number: 260-432-1579
Mailing Address
VALERIE E LAKE, DDS, LLC
6211 COVINGTON RD
FORT WAYNE, IN 46804-7311
Phone number: 260-432-1579
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