| NPI | 1255024410 |
|---|---|
| Former Legal Business Name | LAKEWOOD CITY CENTER DENTAL |
| Entity Type | Organization |
| Authorized Contact | CONNOR KILANDER Business Owner 216-228-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2023-06-01 |