| NPI | 1841395845 |
|---|---|
| Doing Business As | LAKEWOOD FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLEN BEADLE Dentist 214-823-1638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 13060) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX 10075) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |