| Lakeshore Family Dentistry Inc | |
|
720 Robert Boulevard Slidell LA 70458 | |
| (985) 643-1852 | |
| (985) 643-1845 |
| Full Name | Lakeshore Family Dentistry Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 720 Robert Boulevard, Slidell, Louisiana |
| Authorized Official Name and Position | Kristie Leah Reine (OWNER DENTIST) |
| Authorized Official Contact | 9856431852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Family Dentistry Inc 720 Robert Boulevard Slidell LA 70458 Ph: (985) 643-1852 | Lakeshore Family Dentistry Inc 720 Robert Boulevard Slidell LA 70458 Ph: (985) 643-1852 |
| NPI Number | 1083783419 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083783419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5503 (Louisiana) | Primary |
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