Organization
HOLYOAK BROS
Active
Other names
Lakeshore Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER EILEEN RICHEY (OFFICE MANAGER)
(480) 838-5422
Entity
Organization
Contact information
Practice address
1455 E GUADALUPE RD STE 2, TEMPE, AZ 85283-3951
(480) 838-5422
(480) 838-3794
Mailing address
1455 E GUADALUPE RD STE 2, TEMPE, AZ 85283-3951
(480) 838-5422
(480) 838-3794
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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