| NPI | 1548616501 |
|---|---|
| Doing Business As | LAKE MERIDIAN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ANDREW HIGGINS Owner 703-864-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60538445) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-05-09 |