NPI | 1699545111 |
---|---|
Doing Business As | LAKESHORE FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | ANA VALENTINA PEREZ Owner 407-342-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-01-05 |
Last Update Date | 2024-01-05 |