Lakeland Family Dental

NPI #1538328059 in Monticello, Minnesota

Provider Information

NPI Number: 1538328059
Entity Type: Organization
Organization Name: Lakeland Family Dental
Subpart: Yes (part of a larger organization)
Parent Organization: FU WONG DDS
Primary Specialty: Dentist
Enumeration Date: Jun 9, 2008
Last Updated: Jun 13, 2008

Practice Location

Address: 106 BROADWAY STREET EAST
City: Monticello
State: Minnesota
ZIP Code: 55362
Phone: (763) 295-3036

Authorized Official

Name: FU WONG, DDS
Title: PRESIDENT
Phone: (763) 424-4415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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