| NPI | 1063156529 |
|---|---|
| Doing Business As | STAR TEK ADULT DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JERRY LEE LANIER President 323-461-9942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-08-29 |