| NPI | 1932939261 |
|---|---|
| Doing Business As | LAKESHORE EAST DENTAL ARTS |
| Doing Business As | LAKEVIEW DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | SCOTT W OVERHOLSER Dentist/Owner 773-807-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |