Organization
LAKE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LAKE DMD (OWNER/ DENTIST)
(303) 346-8000
Entity
Organization
Contact information
Practice address
8155 PINEY RIVER AVE STE 220, LITTLETON, CO 80125-8730
(303) 346-8000
(303) 223-9295
Mailing address
8155 PINEY RIVER AVE STE 220, LITTLETON, CO 80125-8730
(303) 346-8000
(303) 223-9295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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