| NPI | 1033391230 |
|---|---|
| Doing Business As | LAKEVIEW ORAL SURGERY & DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | AMY RAYNE DAVIS Office Manager 810-985-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MI 2901016443) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2025-01-21 |