West Lakes Dentistry, PA

NPI #1497113674 in Mound, Minnesota

Provider Information

NPI Number
1497113674
Entity Type
Organization
Organization Name
West Lakes Dentistry, PA
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Feb 3, 2016
Last Updated
Feb 3, 2016

Practice Location

Address
5205 SHORELINE DR
City
Mound
ZIP Code
55364-1770
Phone
(952) 472-7717

Authorized Official

Name
STEPHANIE MINER
Title
OWNER
Phone
(952) 472-7717

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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