NPI | 1649631052 |
---|---|
Doing Business As | LAKEVIEW DENTAL |
Entity Type | Organization |
Authorized Contact | ALABA A ADELAKUN Dentist/Owner 773-649-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019027984) |
Enumeration Date | 2016-03-11 |
Last Update Date | 2016-03-11 |