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 |