NPI | 1013649110 |
---|---|
Doing Business As | LAKEMONT FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | DARA KIM Dentist 513-515-1555 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-06-28 |
Last Update Date | 2022-07-31 |