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1720141849
LAKE DENTAL CLINIC LLC
CAMDENTON, MO
NPI
1720141849
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Entity Type
Organization
Authorized Contact
VERNON DALE MCELWEE
Owner
573-346-7278
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-12-19
Last Update Date
2008-04-24
Business Address
LAKE DENTAL CLINIC LLC
1497 N STATE HIGHWAY 5
CAMDENTON, MO 65020
Phone number: 573-346-7278
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Mailing Address
LAKE DENTAL CLINIC LLC
PO BOX 820
CAMDENTON, MO 65020
Phone number: 573-346-7278
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