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OrganizationMedicare enrolled

Lakeside Dental Care PLLC

Dentist, General Practice · Philadelphia, PA

Source: NPPES NPI RegistryFetched 2026-10-20

Public record

NPI
1000000606
Enumeration date
2026-08-13
Last updated
2026-10-04
Practice location
8159 Hospital Dr
Philadelphia, PA 19103
Mailing address
PO Box 8706
Philadelphia, PA 19103
Taxonomies
Medicare
Enrolled