Organization · Type 2 NPI

Lake Shore Dental Group PLLC

General Practice Dentistry · Waco, TX

NPI number 1093487555 Active

About NPI 1093487555

Lake Shore Dental Group PLLC's National Provider Identifier is 1093487555, issued on Oct 4, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Waco, TX. The record was last updated on Oct 4, 2021.