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1568589463
ROBERT DALE LAKE
HUNTINGTON BEACH, CA
NPI
1568589463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 22634)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
Dr. ROBERT DALE LAKE D.D.S.
16882 BOLSA CHICA ST SUITE 204
HUNTINGTON BEACH, CA 92649-3592
Phone number: 714-846-2837
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Mailing Address
Dr. ROBERT DALE LAKE D.D.S.
16882 BOLSA CHICA ST SUITE 204
HUNTINGTON BEACH, CA 92649-3592
Phone number: 714-846-2837
Copy
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