| NPI | 1376018226 |
|---|---|
| Doing Business As | NORTHLAKE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KEVIN NGUYEN Dentist/Owner 972-948-9483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |