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OrganizationMedicare enrolled

Lakeside Family Dentistry PC

Dentist, General Practice · Los Angeles, CA

Source: NPPES NPI RegistryFetched 2026-10-20

Public record

NPI
1000001070
Enumeration date
2021-04-02
Last updated
2026-08-17
Practice location
8052 Medical Pkwy
Los Angeles, CA 90048
Taxonomies
Website
Not listed
Medicare
Enrolled