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 |