| NPI | 1356539639 |
|---|---|
| Doing Business As | LAKE CITY COSMETIC DENTISTRY, PLLC |
| Entity Type | Organization |
| Authorized Contact | DANIEL FROST Owner 206-363-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 11079) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |