| NPI | 1427669936 |
|---|---|
| Doing Business As | LAKEVIEW POINTE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CREED L CARDON Clinical Director 918-998-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-09-29 |