NPI | 1912299793 |
---|---|
Doing Business As | DENTAL DESIGNS OF LAKELAND |
Entity Type | Organization |
Authorized Contact | PAM HARDIEK Insurance/Credentialing 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2011-05-11 |
Last Update Date | 2011-05-11 |