| NPI | 1982332201 |
|---|---|
| Doing Business As | WOODS LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT MCDONALD Owner/Dentist 269-290-4542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-13 |
| Last Update Date | 2022-08-13 |