Organization · Type 2 NPI
Lake Country Dental P.l.l.c
Dental Clinic/Center · Geneva, NY
NPI number
1396274452
Active
Practice location
404 William St Ste 5
Geneva, NY 14456-2143
Fax (315) 789-0056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 050514 (NY) |
Dental Clinic/Center: Definition to come...
About NPI 1396274452
Lake Country Dental P.l.l.c's National Provider Identifier is 1396274452, issued on Jun 12, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Geneva, NY. The record was last updated on Jul 21, 2022.