| NPI | 1528299211 |
|---|---|
| Doing Business As | LAKE POINTE DENTAL, PA |
| Entity Type | Organization |
| Authorized Contact | MICHELLE MENDOZA President 469-633-9925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 0021754) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |