Lakeville Modern Dentistry, Pllc

NPI #1992403919 in Lakeville, Minnesota

Provider Information

NPI Number
1992403919
Entity Type
Organization
Organization Name
Lakeville Modern Dentistry, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 20, 2023
Last Updated
Apr 22, 2023

Practice Location

Address
17746 KENWOOD TRL
ZIP Code
55044-9454
Phone
(920) 723-8420

Authorized Official

Name
DR. ERIC M BENDER, DMD
Title
PRESIDENT
Phone
(920) 723-8420

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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