| NPI | 1427146463 |
|---|---|
| Doing Business As | WEST LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRANDY MICHELLE BURNETT General Counsel 281-812-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21713) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |