| NPI | 1366312811 |
|---|---|
| Doing Business As | WEST LAKE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNY GARCIA-ROCHA Payer Enrollment Manager 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |