| Lakeshore Dental | |
|
1455 E Guadalupe Rd Ste 2 Tempe AZ 85283-3951 | |
| (480) 838-5422 | |
| (480) 838-3794 |
| Full Name | Lakeshore Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1455 E Guadalupe Rd Ste 2, Tempe, Arizona |
| Authorized Official Name and Position | Jennifer Eileen Richey (OFFICE MANAGER) |
| Authorized Official Contact | 4808385422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Dental 1455 E Guadalupe Rd Ste 2 Tempe AZ 85283-3951 Ph: (480) 838-5422 | Lakeshore Dental 1455 E Guadalupe Rd Ste 2 Tempe AZ 85283-3951 Ph: (480) 838-5422 |
| NPI Number | 1881172120 |
|---|---|
| Provider Enumeration Date | 07/30/2018 |
| Last Update Date | 07/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881172120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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