| NPI | 1588136766 |
|---|---|
| Doing Business As | LAKESIDE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KAREN J TRITINGER-YOUNG Owner/Dentist 509-494-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |