NPI | 1245518984 |
---|---|
Doing Business As | LAKEVIEW DENTAL |
Entity Type | Organization |
Authorized Contact | PABLO LAURENCIO SILVA Owner/President 239-573-4848 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2011-07-29 |
Last Update Date | 2011-07-29 |