Organization · Type 2 NPI
Lake Road Dental LLC
Dental Clinic/Center · Dillingham, AK
NPI number
1174016737
Active
Practice location
4622 Shannon Lake Rd
Dillingham, AK 99576
Mailing address
PO Box 969
Dillingham, AK 99576-0969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1174016737
Lake Road Dental LLC's National Provider Identifier is 1174016737, issued on Jun 8, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Dillingham, AK. The record was last updated on Jun 8, 2018.