| NPI | 1205431947 |
|---|---|
| Doing Business As | LAKEVIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES CARLISLE Owner 951-522-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |