| NPI | 1033663208 |
|---|---|
| Doing Business As | LAKEWOOD MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HUONG T LAM Owner 714-845-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |