| NPI | 1417705708 |
|---|---|
| Doing Business As | DENTISTS OF WEST LAWN |
| Entity Type | Organization |
| Authorized Contact | JENNIFER JUDGE Owner 629-240-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |