Organization
TRUMAN LAKE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK LANCASTER DDS (DDS/OWNER)
(660) 438-5139
Entity
Organization
Contact information
Practice address
1631 COMMERCIAL ST, WARSAW, MO 65355-3060
(660) 438-5139
(660) 438-8649
Mailing address
1631 COMMERCIAL ST, WARSAW, MO 65355-3060
(660) 438-5139
(660) 438-8649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2012018560
MO
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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