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1568901866
JEFFREY MICHAEL LAKE
TUCSON, AZ
NPI
1568901866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AZ D009660)
Enumeration Date
2017-02-20
Last Update Date
2017-02-20
Business Address
-- JEFFREY MICHAEL LAKE DMD
123 S STONE AVE
TUCSON, AZ 85701-1914
Phone number: 520-798-3384
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Mailing Address
-- JEFFREY MICHAEL LAKE DMD
123 S STONE AVE
TUCSON, AZ 85701-1914
Phone number: 520-798-3384
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