| NPI | 1861943771 |
|---|---|
| Doing Business As | LAKEWOOD MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HUONG T LAM Owner General Dentist 303-222-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |