| NPI | 1750088746 |
|---|---|
| Doing Business As | KATY LAKES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BOWEN LI Manager 716-860-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-03-28 |