| NPI | 1285813402 |
|---|---|
| Doing Business As | LAKESIDE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CECILIA LOWE Secretary 415-469-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44224) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |