NPI 1487907192

Ruby J Lake

Practitioner Dentist Frederiksted, VI

Practice location

Address: 16 Strand Street, Frederiksted, VI 00840
Phone: (340) 772-1616
Fax: (340) 772-1616
Mailing address: 414 Strand Street, Frederiksted, VI 00840

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 708 (VI)

Other Dentist providers in U.S. Virgin Islands →

Registry record

NPI: 1487907192
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2012
Record last updated: 18 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.