| NPI | 1619469194 |
|---|---|
| Doing Business As | LAKEFRONT FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LISA HARRISON Office Admin 951-244-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 41083) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2020-12-04 |