| Lakes Dental Pllc | |
|
270 Lake St Ste 5 Penn Yan NY 14527-1832 | |
| (315) 694-7901 | |
| (315) 694-7172 |
| Full Name | Lakes Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 270 Lake St Ste 5, Penn Yan, New York |
| Authorized Official Name and Position | Sia Hersini (CEO) |
| Authorized Official Contact | 9142611650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Dental Pllc 270 Lake St Ste 5 Penn Yan NY 14527-1832 Ph: (315) 694-7901 | Lakes Dental Pllc 270 Lake St Ste 5 Penn Yan NY 14527-1832 Ph: (315) 694-7901 |
| NPI Number | 1558845099 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 09/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558845099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Eaves Family Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Liberty St, Penn Yan, NY 14527 Phone: 315-536-3341 Fax: 315-536-7465 | |
Eaves Family Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 Liberty St, Penn Yan, NY 14527 Phone: 315-536-3341 |