| NPI | 1851277818 |
|---|---|
| Doing Business As | LAKE HARBOR DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEPHEN WHITE Dentist/Owner 208-890-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |