| NPI | 1356654172 |
|---|---|
| Doing Business As | LAKEVIEW DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SPENCER C WIRIG President 208-664-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ID D4020) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |