| Lakeview Dentistry P.c., Inc. | |
|
10750 W. Mcdowell Road, Bldg. D410 Avondale AZ 85392 | |
| (623) 474-2869 | |
| (623) 474-2908 |
| Full Name | Lakeview Dentistry P.c., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10750 W. Mcdowell Road, Bldg. D410, Avondale, Arizona |
| Authorized Official Name and Position | Jehyun Ryu (DENTIST/OWNER) |
| Authorized Official Contact | 6234742869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Dentistry P.c., Inc. 10750 W. Mcdowell Road, Bldg. D410 Avondale AZ 85392 Ph: (623) 474-2869 | Lakeview Dentistry P.c., Inc. 10750 W. Mcdowell Road, Bldg. D410 Avondale AZ 85392 Ph: (623) 474-2869 |
| NPI Number | 1073077145 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 01/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073077145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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