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1366773517
KIMBERLY J LAKE
DALLAS, TX
NPI
1366773517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 25182)
Enumeration Date
2010-01-27
Last Update Date
2012-10-30
Business Address
Dr. KIMBERLY J LAKE DDS
3434 W ILLINOIS AVE STE 307
DALLAS, TX 75211-8709
Phone number: 817-689-8656
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Mailing Address
Dr. KIMBERLY J LAKE DDS
430 W ERIE ST STE 200
CHICAGO, IL 60654-6914
Phone number:
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