| NPI | 1568231280 |
|---|---|
| Doing Business As | LAKE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BIEBER Vice President 563-599-5720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2023-12-21 |