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Clarence Lake, D.M.D
NPI 1336197201 · on the registry since 2006
Practice
- Address
- 735 Raysor Drive
St. Matthews, SC 29135 - Phone
- (803) 874-2243
- Organisation at this address
- Lake Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
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 South Carolina