Organization
LAKEVIEW DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYAN GHODSI (MANAGER)
(561) 898-1010
Entity
Organization
Contact information
Practice address
1402 ROYAL PALM BEACH BLVD STE 500, ROYAL PALM BEACH, FL 33411-1694
(561) 898-1010
Mailing address
1402 ROYAL PALM BEACH BLVD. STE 500, ROYAL PALM BEACH, FL 33411
(561) 898-1010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/23/2016
Last updated
09/20/2016
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