| NPI | 1720709280 |
|---|---|
| Doing Business As | LIGHTHOUSE DENTAL OF TEQUESTA |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA MADISON DUNN-TACKETT Owner/Dentist 561-745-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |