NPI | 1952819369 |
---|---|
Doing Business As | WEST LAKES FAMILY DENTISTRY |
Doing Business As | WEST LAKES FAMILY DENTISTRY PLLC |
Entity Type | Organization |
Authorized Contact | JARED PAUL SASS Owner 515-225-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IA 09213) |
Enumeration Date | 2018-01-19 |
Last Update Date | 2022-07-20 |