NPI | 1790999340 |
---|---|
Doing Business As | LAKEWOOD DENTAL ARTS |
Entity Type | Organization |
Authorized Contact | ROBERT K GOODIS Owner 562-866-1735 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-05-10 |
Last Update Date | 2008-07-11 |