| NPI | 1033238837 |
|---|---|
| Doing Business As | LAKESHORE DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RICHARD J RINGROSE President Owner 707-994-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23237) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |