Organization
JOSHUA COLT SWEETEN DDS PC
Active
Other names
Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA COLT SWEETEN DDS (OWNER)
(208) 351-5311
Entity
Organization
Contact information
Practice address
286 SW 4TH ST, ONTARIO, OR 97914-2610
(208) 351-5311
Mailing address
1190 SW 14TH AVE, ONTARIO, OR 97914-4224
(208) 351-5311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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