| NPI | 1447690060 |
|---|---|
| Doing Business As | LIGHTHOUSE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA Y VAN KOOTEN Dentist 831-373-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |