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Organization
LAKESHORE DENTAL CARE, PLLC
Active
Organization
LAKESHORE DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN ROBERT MITCHELL DDS (OWNER)
(716) 909-4775
Entity
Organization
Contact information
Practice address
5020 LAKE SHORE RD, HAMBURG, NY 14075-5719
(716) 627-7200
Mailing address
5020 LAKE SHORE RD, HAMBURG, NY 14075-5719
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056041
NY
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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