| NPI | 1083823751 |
|---|---|
| Doing Business As | LAKE FOREST DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LUAN DINH NGUYEN Dentist, Owner 949-595-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51769) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2016-05-16 |