| NPI | 1710127030 |
|---|---|
| Doing Business As | LAKEWOOD DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | SHAWN F MAGELSEN Partner/Owner 360-652-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA 602870164) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |