| NPI | 1861912735 |
|---|---|
| Doing Business As | LAKEWOOD DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHAUN SIGURDSON Owner 832-612-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 31895) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2020-05-22 |