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A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Prosthodontics |
1223P0700X |
| NPI # | 1790840734 |
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| LBN Legal business name | CEDAR LAKE DENTAL PROFESSIONALS LTD | ||||||||||||||||||||
| Authorized official | LYSETTE BRUEGGEMAN - (OWNER) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 12/27/2006 | ||||||||||||||||||||
| Last updated | 09/11/2025 - About 9 months ago | ||||||||||||||||||||
| Identifiers |
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CEDAR LAKE DENTAL PROFESSIONALS LTD