| NPI | 1922134535 |
|---|---|
| Doing Business As | LAKES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BEHZAD AMIN President 248-363-8285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-04-10 |