| NPI | 1275914848 |
|---|---|
| Doing Business As | LAKEVIEW DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM OVERHOLSER Owner/Doctor 773-270-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026260) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |