LAKE FAMILY AND COSMETIC DENTISTRY

FORT WORTH, TX
NPI1073936084
Entity TypeOrganization
Authorized ContactKIMBERLY J LAKE
Owner/ President
817-263-0181
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: TX  25182)
Enumeration Date2014-01-27
Last Update Date2014-01-27
Business Address
LAKE FAMILY AND COSMETIC DENTISTRY
4968 OVERTON RIDGE BLVD
FORT WORTH, TX 76132-1909
Phone number: 817-263-0181
Mailing Address
LAKE FAMILY AND COSMETIC DENTISTRY
4968 OVERTON RIDGE BLVD
FORT WORTH, TX 76132-1909
Phone number: 817-263-0181
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