| NPI | 1851501795 |
|---|---|
| Doing Business As | LAKESHORE VILLAGE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MAKBULAHMED I PATEL Secretary 951-601-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37000) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |