| NPI | 1750077103 |
|---|---|
| Doing Business As | LAKELAND DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | BRADLEY J MALLEY Owner 601-981-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |