| NPI | 1922541416 |
|---|---|
| Doing Business As | LAKELAND DENTAL |
| Entity Type | Organization |
| Authorized Contact | NGOZI ODOCHA CEO 817-400-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |