| NPI | 1518098060 |
|---|---|
| Doing Business As | LAKE MARTIN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND C TSO Dentist 256-234-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AL 4674) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |