Individual
DR. BARBARA JEAN LACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9720 RESEDA BLVD, SUITE 4, NORTHRIDGE, CA 91324-5515
(818) 349-5441
(818) 349-5452
Mailing address
9720 RESEDA BLVD, SUITE 4, NORTHRIDGE, CA 91324-5515
(818) 349-5441
(818) 349-5452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26085
CA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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