Individual provider · Type 1 NPI

Kimberly J. Lake, DDS

General Practice Dentistry · Dallas, TX

NPI number 1366773517 Active

Practice location

3434 W Illinois Ave, Ste 307
Dallas, TX 75211-8709

Call (817) 689-8656 Map

Mailing address

430 W Erie St, Ste 200
Chicago, IL 60654-6914

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X25182 (TX)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1366773517

Kimberly J. Lake, DDS's National Provider Identifier is 1366773517, issued on Jan 27, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dallas, TX. The record was last updated on Oct 30, 2012.