| NPI | 1780939397 |
|---|---|
| Doing Business As | VALLEY HEALTH LAKESIDE ELEMENTARY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD WEINBERGER CFO 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |