Lakewood Dental - Pine Island LLC
NPI #1548012644 in Pine Island, Minnesota
Provider Information
- NPI Number
- 1548012644
- Entity Type
- Organization
- Organization Name
- Lakewood Dental - Pine Island LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 2, 2024
- Last Updated
- Apr 2, 2024
Practice Location
- Address
- 232 S MAIN ST
- City
- Pine Island
- State
- Minnesota
- ZIP Code
- 55963-9190
- Phone
- (715) 833-8755
Authorized Official
- Name
- GENIE KUBLE
- Title
- ACCESS MANAGER
- Phone
- (920) 450-0157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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