| NPI | 1275804312 |
|---|---|
| Doing Business As | LAKE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANISH QADRI President 732-388-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NJ 22DI02351300) |
| Enumeration Date | 2012-01-21 |
| Last Update Date | 2015-01-26 |