| NPI | 1609234178 |
|---|---|
| Doing Business As | LAKESIDE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JIEUN CHOI Owner 281-861-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |