CORDELL LAKE, D.D.S., LLC

FARMINGTON, MO
NPI1619446077
Entity TypeOrganization
Authorized ContactCORDELL LAKE
General Dentist
816-728-1630
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2018-11-15
Last Update Date2018-11-15
Business Address
CORDELL LAKE, D.D.S., LLC
12 E HARRISON ST
FARMINGTON, MO 63640-1859
Phone number: 573-756-4344
Mailing Address
CORDELL LAKE, D.D.S., LLC
3145 CROSS CREEK DR
CAMDENTON, MO 65020-9377
Phone number: 816-728-1630
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