| NPI | 1841395076 |
|---|---|
| Doing Business As | LAKESIDE DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOSEPH I MALLOUH Owner 508-792-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 19877) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |