| NPI | 1114137338 |
|---|---|
| Other Name | LAKEWOOD FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JITEN M VASA Owner Dentist 562-860-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30025) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-06-17 |