Organization
LAKESHORE PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN MARIE LACOMBE-SENECAL DDS (PEDIATRIC DENTIST/OWNER)
(518) 578-5295
Entity
Organization
Contact information
Practice address
2993 MAIN ST STE 2, PERU, NY 12972-2927
(518) 282-5519
Mailing address
2993 MAIN ST STE 2, PERU, NY 12972-2927
(518) 282-5519
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/08/2019
Last updated
06/08/2019
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