LAKE STATE DENTAL PLLC

STURGIS, MI
NPI1942986476
Entity TypeOrganization
Authorized ContactCLAIRE STICKLER
Dr.
302-841-0871
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-06-27
Last Update Date2023-06-27
Business Address
LAKE STATE DENTAL PLLC
401 N LAKEVIEW AVE
STURGIS, MI 49091-1229
Phone number: 302-841-0871
Mailing Address
LAKE STATE DENTAL PLLC
519 COLUMBIA AVE
SAINT JOSEPH, MI 49085-2405
Phone number: 302-841-0871