| NPI | 1831295633 |
|---|---|
| Doing Business As | LAKE FOREST DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ELHAM KHASHE MACMURRAY Owner Dds 949-770-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2009-06-03 |