Lakeville Dental Associates, P.a.

NPI #1871697805 in Lakeville, Minnesota

Provider Information

NPI Number
1871697805
Entity Type
Organization
Organization Name
Lakeville Dental Associates, P.a.
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 11, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
20171 ICENIC TRL
ZIP Code
55044-7708
Phone
(952) 469-3300

Authorized Official

Name
DR. JOHN L HARRISON, DDS
Title
DENTIST
Phone
(952) 469-3300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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