Lakeview Dental Llc Valid NPI

Organization · General Practice Dentistry · O'Fallon, MO

NPI

1881801249

Type

Organization (Type 2)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

015604 (MO)

Enumerated

2007-05-16

Last updated

2020-08-22