NPI | 1396297792 |
---|---|
Doing Business As | LAKEWOOD DENTISTRY |
Entity Type | Organization |
Authorized Contact | DAEKYU HWANG Owner 860-215-3000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 10327) |
Enumeration Date | 2016-11-01 |
Last Update Date | 2016-11-01 |