| NPI | 1669251815 |
|---|---|
| Doing Business As | LAKE UNDERHILL DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | VANESSA LEON Owner 407-461-4187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |