Organization
DR STEVEN C LAKES DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN CHARLES LAKES DMD (DENTIST/OWNER)
(860) 537-1444
Entity
Organization
Contact information
Practice address
151 BROADWAY ST, COLCHESTER, CT 06415-1056
(860) 537-1444
(860) 537-6648
Mailing address
151 BROADWAY, COLCHESTER, CT 06415
(860) 537-1444
(860) 537-6648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005290
CT
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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