| 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 |