Lakes Area Mobile Smiles, INC

NPI #1508984410 in Deerwood, Minnesota

Provider Information

NPI Number: 1508984410
Entity Type: Organization
Organization Name: Lakes Area Mobile Smiles, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 27, 2007
Last Updated: Apr 10, 2008

Practice Location

Address: 22187 STATE HIGHWAY 6
City: Deerwood
State: Minnesota
ZIP Code: 56444-6279
Phone: (218) 831-3131

Authorized Official

Name: MRS. REBECCA LEIGH WILSON, RDH
Title: PRESIDENT
Phone: (218) 831-3131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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