| NPI | 1205323029 |
|---|---|
| Doing Business As | LAKEVIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | COURTNEY STUHLMAN Office Manager 203-272-8222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 6009) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |