| NPI | 1154403905 |
|---|---|
| Doing Business As | LAKESIDE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LESLEY E GROETSCH Operations Manager 504-833-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |