Organization
LAKE COUNTRY DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTE LEFKOVE (PRACTICE ADMINISTRATOR)
(478) 452-3768
Entity
Organization
Contact information
Practice address
750 N COBB ST, STE. 140, MILLEDGEVILLE, GA 31061-2390
(478) 452-3768
(478) 452-2704
Mailing address
750 N COBB ST, STE. 140, MILLEDGEVILLE, GA 31061-2390
(478) 452-3768
(478) 452-2704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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