| NPI | 1497009831 |
|---|---|
| Doing Business As | LAKE FOREST PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KEITH H TAM Owner, Dds 949-322-9778 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 57293) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2022-01-27 |