Organization · Type 2 NPI

Lake State Dental PLLC

Dental Clinic/Center · Sturgis, MI

NPI number 1942986476 Active

Practice location

401 N Lakeview Ave
Sturgis, MI 49091-1229

Mailing address

519 Columbia Ave
St. Joseph, MI 49085-2405

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1942986476

Lake State Dental PLLC's National Provider Identifier is 1942986476, issued on Jun 27, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Sturgis, MI. The record was last updated on Jun 27, 2023.