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Jacob S. Lake, DDS

General Dentistry · Chicago, IL

UnclaimedDDSNPI 1811979933
Primary taxonomy
1223G0001X
Enumerated
2005-11-15
Practice location
Chicago, IL
Last NPPES update
2026-07-13

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.