| NPI | 1538671730 |
|---|---|
| Doing Business As | WOODLAND LAKE FAMILY DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | ERICA QUINTEROS Credentialing 724-901-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2024-04-08 |