MARK S. LAKE

OSAGE BEACH, MO
NPI1356479539
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2006014707)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
Dr. MARK S. LAKE D.D.S.
1037 PALISADES BLVD STE 9
OSAGE BEACH, MO 65065-3340
Phone number: 573-348-9888
Mailing Address
Dr. MARK S. LAKE D.D.S.
1037 PALISADES BLVD STE 9
OSAGE BEACH, MO 65065-3340
Phone number: 573-348-9888
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