| NPI | 1972963957 |
|---|---|
| Doing Business As | LAKERIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | TRINA KAY SNUGGS Business Manager 806-794-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18984) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |