LAKEWOOD FAMILY DENTAL OF LAFAYETTE INC

LAFAYETTE, IN
NPI1487026431
Entity TypeOrganization
Authorized ContactSRINIVASULU KAKOLLU
President
765-807-6666
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12012121A)
Enumeration Date2015-10-28
Last Update Date2015-10-28
Business Address
LAKEWOOD FAMILY DENTAL OF LAFAYETTE INC
2 EXECUTIVE DR
LAFAYETTE, IN 47905-4878
Phone number: 765-807-6666
Mailing Address
LAKEWOOD FAMILY DENTAL OF LAFAYETTE INC
2 EXECUTIVE DR
LAFAYETTE, IN 47905-4878
Phone number: 765-807-6666
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