Organization
LAKESIDE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A RANSOM DDS (OWNER/DENTIST)
(541) 994-8135
Entity
Organization
Contact information
Practice address
3173 NE WEST DEVILS LAKE RD., LINCOLN CITY, OR 97367
(541) 994-8135
(541) 994-8136
Mailing address
3173 NE WEST DEVILS LAKE RD., LINCOLN CITY, OR 97367
(541) 994-8135
(541) 994-8136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8192
OR
Other
Enumeration date
06/15/2018
Last updated
06/15/2018
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