| NPI | 1194781252 |
|---|---|
| Doing Business As | LAKE DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | TRANG-ANH MIMIE NGUYEN Owner 626-791-5432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 44971) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2014-09-23 |