| NPI | 1346634300 |
|---|---|
| Doing Business As | LAKE CITY DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN CHENG Owner 206-363-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60056985) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |