Organization
LIGHTSHIP DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R LAKE JR. D.D.S. (PRESIDENT)
(508) 428-4929
Entity
Organization
Contact information
Practice address
1322 MAIN ST, OSTERVILLE, MA 02655-1542
(508) 428-4929
(508) 420-2943
Mailing address
1322 MAIN ST, OSTERVILLE, MA 02655-1542
(508) 428-4929
(508) 420-2943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14541
MA
Other
Enumeration date
07/18/2006
Last updated
10/26/2015
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