Lakeville Dental Associates, PA

NPI #1053614867 in Lakeville, Minnesota

Provider Information

NPI Number
1053614867
Entity Type
Organization
Organization Name
Lakeville Dental Associates, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 16, 2010
Last Updated
Oct 17, 2011

Practice Location

Address
20171 ICENIC TRL
ZIP Code
55044-7708
Phone
(952) 469-3300

Authorized Official

Name
MRS. ROSE A HARRISON
Title
MANAGER
Phone
(952) 469-3300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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