| NPI | 1518317452 |
|---|---|
| Doing Business As | SILVER LAKE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM GROSLEIB Owner 818-763-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2018-05-09 |