| NPI | 1184191678 |
|---|---|
| Doing Business As | LAKEPORT DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | BRENDA MILLER Office Manager 712-276-8391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |