Organization
LAKEVIEW DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER PLESSNER D.D.S. (OWNER)
(636) 332-3322
Entity
Organization
Contact information
Practice address
2141 WEST TERRA LANE, O'FALLON, MO 63366
(636) 332-3322
(636) 639-9384
Mailing address
2141 WEST TERRA LANE, O'FALLON, MO 63366
(636) 332-3322
(636) 639-9384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015604
MO
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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