| NPI | 1497564645 |
|---|---|
| Doing Business As | LAKEVIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | RYAN LE Owner 980-721-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |