| NPI | 1972726214 |
|---|---|
| Doing Business As | LAKESIDE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES J HONG President 702-255-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 3508) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-06-24 |