LAKE ROAD DENTAL LLC is a dental clinic center in Dillingham, AK. LAKE ROAD DENTAL LLC NPI is 1174016737. The provider is registered as an organization entity type.
The provider's business location address is:
4622 SHANNON LAKE RD
DILLINGHAM, AK
ZIP 99576
Phone: (907) 842-2324
The provider's authorized official is Kelly Lucas .
The authorized official title is Dentist/ Owner and has the following contact phone number (907) 842-2324.
The enumeration date for this NPI number is 6/8/2018 and was last updated on 6/8/2018.