| 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 | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | 
| Additional Taxonomies | 1223G0001X Dentist, General Practice | 
| 1223P0300X Dentist, Periodontics | |
| Enumeration Date | 2006-10-20 | 
| Last Update Date | 2025-09-11 |