# HOLYOAK BROS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeshore Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881172120
- **Authorized official:** JENNIFER EILEEN RICHEY (OFFICE MANAGER)
- **Authorized official phone:** (480) 838-5422

## Contact information

- **Practice address:** 1455 E GUADALUPE RD STE 2, TEMPE, AZ 85283-3951
- **Practice address phone:** (480) 838-5422
- **Practice address fax:** (480) 838-3794
- **Mailing address:** 1455 E GUADALUPE RD STE 2, TEMPE, AZ 85283-3951
- **Mailing address phone:** (480) 838-5422
- **Mailing address fax:** (480) 838-3794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2018
- **Last updated:** 07/30/2018