| NPI | 1790299139 |
|---|---|
| Doing Business As | LAKESHORE DENTAL P.C. |
| Entity Type | Organization |
| Authorized Contact | AMRISH PATEL Dentist 973-610-6026 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401414691) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-12-07 |