| NPI | 1811873086 |
|---|---|
| Doing Business As | LAKESHORE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JENNIFER ROSE CASE Regional Manager 440-442-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-14 |