KEVIN JOSEPH LAKE

NEW PROVIDENCE, NJ
NPI1083638399
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NJ  22DI02044100)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
Dr. KEVIN JOSEPH LAKE DMD
5 ETHAN DR
NEW PROVIDENCE, NJ 07974-1604
Phone number: 908-464-5270
Mailing Address
Dr. KEVIN JOSEPH LAKE DMD
5 ETHAN DR
NEW PROVIDENCE, NJ 07974-1604
Phone number: 908-464-5270
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