| NPI | 1053968917 |
|---|---|
| Doing Business As | LAKEWOOD DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHARLYNE JUNGERMANN Practice Manager 440-899-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2019-08-24 |