LAKEVILLE FAMILY DENTAL CENTRE PA
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1255442620- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 16375 KENRICK AVE STE 200, LAKEVILLE, MN, 550448494
- Phone
- (952) 435-5905
- Fax
- (952) 435-6291
Specialties & Taxonomies
Dentist, General Practice
Primary License: MN