| NPI | 1831775410 |
|---|---|
| Doing Business As | LAKEMONT DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATIE BURROUGHS Office Administrator 407-644-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-23 |