| NPI | 1386014538 |
|---|---|
| Doing Business As | LAKE CITY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MORGAN J. SMITH Owner/ Dentist 801-266-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 6643737) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2021-07-15 |