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Terry Lake, D.M.D
NPI 1174529903 · on the registry since 2005
Practice
- Address
- 5001 Maccorkle Ave Sw
South Charleston, WV 25309 - Phone
- (304) 768-5721
- Fax
- (304) 768-6131
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia