Organization
LAKE DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON T SKINNER DDS (PRESIDENT)
(641) 357-4112
Entity
Organization
Contact information
Practice address
102 N 5TH ST, CLEAR LAKE, IA 50428-1803
(641) 357-4112
(641) 357-0670
Mailing address
102 N 5TH ST, CLEAR LAKE, IA 50428-1803
(641) 357-4112
(641) 357-0670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IA
Other
Enumeration date
11/03/2006
Last updated
07/21/2022
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