| NPI | 1265064588 |
|---|---|
| Doing Business As | LIT DENTAL ESTHETICS & IMPLANT CENTER |
| Other Name | COURTNEY LAVIGNE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MIGUEL ORTIZ Owner/Prosthodontist 626-315-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 124Q00000X Dental Hygienist | |
| 1223P0700X Dentist, Prosthodontics | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |