LAKEWOOD FAMILY DENTAL is a general practice dentist in Bloomington, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LAKEWOOD FAMILY DENTAL NPI is 1154675304. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1407 N VETERANS PKWY
SUITE 12
BLOOMINGTON, IL
ZIP 61704-630
Phone: (732) 379-0953
The provider's authorized official is Srinivasulu Kakollu .
The authorized official title is President and has the following contact phone number (732) 379-0953.
The enumeration date for this NPI number is 11/8/2012 and was last updated on 11/8/2012.