| Lakeside Dental Care | |
|
4920 S Alma School Rd Ste 1 Chandler AZ 85248-5547 | |
| (602) 612-9711 | |
| Not Available |
| Full Name | Lakeside Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4920 S Alma School Rd Ste 1, Chandler, Arizona |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Dental Care 4920 S Alma School Rd Ste 1 Chandler AZ 85248-5547 Ph: (807) 396-4044 | Lakeside Dental Care 4920 S Alma School Rd Ste 1 Chandler AZ 85248-5547 Ph: (602) 612-9711 |
| NPI Number | 1992364319 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992364319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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