| NPI | 1932392891 |
|---|---|
| Doing Business As | LAKESIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT J MAURI Practice Manager 301-990-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD MD7735) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |