NPI | 1699147447 |
---|---|
Doing Business As | LAKEVILLE DENTAL |
Entity Type | Organization |
Authorized Contact | DEMETRIUS FILOUKATJIS Member 516-869-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 055517) |
Enumeration Date | 2015-10-20 |
Last Update Date | 2015-10-20 |