Lakeville Family Dental Centre PA

NPI #1255442620 in Lakeville, Minnesota

Provider Information

NPI Number
1255442620
Entity Type
Organization
Organization Name
Lakeville Family Dental Centre PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 31, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
16375 KENRICK AVE STE 200
ZIP Code
55044-8494
Phone
(952) 435-5905

Authorized Official

Name
MS. LIA ANN BEDEAUX
Title
OPERATION MGR.
Phone
(952) 435-5905

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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