LAKEVILLE DENTAL ASSOCIATES, PA
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1053614867- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 20171 ICENIC TRL, LAKEVILLE, MN, 550447708
- Phone
- (952) 469-3300
Specialties & Taxonomies
Dentist, General Practice
Primary License: MN #D12108