Individual provider · Type 1 NPI

Ulrich Lake, DDS

Pediatric Dentistry · Madison, WI

NPI number 1821187683 Active

Practice location

100 River Place, Ste 110
Madison, WI 53716

Call (608) 222-6160 Map

Fax (608) 222-6248

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X4288015 (WI)

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.

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About NPI 1821187683

Ulrich Lake, DDS's National Provider Identifier is 1821187683, issued on Oct 12, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Madison, WI. The record was last updated on Jul 8, 2007.