| NPI | 1679140321 |
|---|---|
| Doing Business As | LAKE VIEW DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ARIELLE WULFSOHN Dentist 773-573-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2022-12-06 |