Organization · Type 2 NPI
Lake Family Dentistry PC
Dental Clinic/Center · Colonia, NJ
NPI number
1275804312
Active
Practice location
296 Lake Ave
Colonia, NJ 07067-1201
Fax (732) 388-3115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 22DI02351300 (NJ) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Colonia
About NPI 1275804312
Lake Family Dentistry PC's National Provider Identifier is 1275804312, issued on Jan 21, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Colonia, NJ. The record was last updated on Jan 26, 2015.