CHILDLREN'S DENTAL CARE LLC
Organization (NPI-2)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1942436167- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 17510 DODD BLVD, LAKEVILLE, MN, 550445268
- Phone
- (952) 997-7100
- Fax
- (952) 997-2017
Specialties & Taxonomies
Dentist, Pediatric Dentistry
License: MN #11961
Dentist, Pediatric Dentistry
Primary License: MN #7309