JEFFREY MICHAEL LAKE

TUCSON, AZ
NPI1568901866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AZ  D009660)
Enumeration Date2017-02-20
Last Update Date2017-02-20
Business Address
-- JEFFREY MICHAEL LAKE DMD
123 S STONE AVE
TUCSON, AZ 85701-1914
Phone number: 520-798-3384
Mailing Address
-- JEFFREY MICHAEL LAKE DMD
123 S STONE AVE
TUCSON, AZ 85701-1914
Phone number: 520-798-3384
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