| NPI | 1073621629 | 
|---|---|
| Doing Business As | LAKEVIEW DENTAL OFFICE. | 
| Entity Type | Organization | 
| Authorized Contact | SHELLY XIAO YUE YU President 530-345-6888  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48869)  | 
| Enumeration Date | 2006-08-25 | 
| Last Update Date | 2020-08-22 |