| NPI | 1558092908 |
|---|---|
| Doing Business As | LAKE MERRITT DENTAL |
| Entity Type | Organization |
| Authorized Contact | HAI HUANG Practice Owner 510-834-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |