| NPI | 1518139823 |
|---|---|
| Doing Business As | LAKESIDE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SANG C PAIK President/ Owner/Dentist 951-924-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA CA41861) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-03-26 |