| NPI | 1073407458 |
|---|---|
| Doing Business As | LAKEWOOD DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBBY JENNINGS Owner 940-206-8956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |