| NPI | 1659797744 |
|---|---|
| Doing Business As | LAKOTA PREMIER DENTAL, LLC |
| Entity Type | Organization |
| Authorized Contact | HASSAN FADL DAWAS President 614-707-9342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: OH 30-023232) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2022-11-09 |