Organization · Type 2 NPI
Lakeshore Pediatric Dentistry PLLC
Pediatric Dentistry · Peru, NY
NPI number
1114586625
Active
Practice location
2993 Main St Ste 2
Peru, NY 12972-2927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1114586625
Lakeshore Pediatric Dentistry PLLC's National Provider Identifier is 1114586625, issued on Jun 8, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Peru, NY. The record was last updated on Jun 8, 2019.