| NPI | 1336913722 |
|---|---|
| Doing Business As | THE LAKEWOOD DENTIST |
| Entity Type | Organization |
| Authorized Contact | DAVID GANJI CEO 818-439-9954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |