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Organization
JAMES LAKE DDS INC
Active
Organization
JAMES LAKE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ALAN LAKE DDS (PRESIDENT)
(760) 365-0774
Entity
Organization
Contact information
Practice address
57340 29 PALMS HWY, YUCCA VALLEY, CA 92284-2927
(760) 365-0774
(760) 365-3995
Mailing address
57340 29 PALMS HWY, YUCCA VALLEY, CA 92284-2927
(760) 365-0774
(760) 365-3995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59657
CA
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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