| NPI | 1760732580 |
|---|---|
| Doing Business As | LAKEVIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DORANTES Owner 206-380-3885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 1223g0001x) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |