| NPI | 1275003048 |
|---|---|
| Doing Business As | LIGHTHOUSE DENTAL |
| Entity Type | Organization |
| Authorized Contact | AJAY DILIP AMIN President 619-224-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2019-01-23 |