Organization
LAKE FAMILY AND COSMETIC DENTISTRY
Active
Other names
Lake Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY J LAKE DDS (OWNER/ PRESIDENT)
(817) 263-0181
Entity
Organization
Contact information
Practice address
4968 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-1909
(817) 263-0181
Mailing address
4968 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-1909
(817) 263-0181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25182
TX
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us