Lakeville Orthodontic Associates LLC

NPI #1003093485 in Lakeville, Minnesota

Provider Information

NPI Number: 1003093485
Entity Type: Organization
Organization Name: Lakeville Orthodontic Associates LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jan 28, 2008
Last Updated: Jan 28, 2008

Practice Location

Address: 10440 185TH ST W
Address 2: SUITE 300
City: Lakeville
State: Minnesota
ZIP Code: 55044-6678
Phone: (952) 435-4000

Authorized Official

Name: DR. SCOTT R BOWLBY, D.D.S.
Title: DOCTOR
Phone: (952) 435-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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