| NPI | 1104240415 |
|---|---|
| Doing Business As | LAKEVIEW FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT G NAKISHER Owner 248-363-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 16085) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 9918) |
| 1223G0001X Dentist, General Practice (Licence: MI 15650) | |
| 1223P0300X Dentist, Periodontics (Licence: MI 19162) | |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |