| NPI | 1356567317 |
|---|---|
| Doing Business As | LAKESHORE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROOPA S GOWDA President 951-522-5492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2016-11-02 |