Individual
SAMUEL LYON LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
14420 BEL RED RD STE 105, BELLEVUE, WA 98007-3930
(425) 641-4200
(425) 641-4418
Mailing address
14420 BEL RED RD STE 105, BELLEVUE, WA 98007-3930
(425) 641-4200
(425) 641-4418
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5283
WA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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