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 |