LAKEVILLE MODERN DENTISTRY, PLLC
Organization (NPI-2)
Active
Clinic/Center, Dental
Provider Information
- NPI Number
1992403919- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 17746 KENWOOD TRL, LAKEVILLE, MN, 550449454
- Phone
- (920) 723-8420
Specialties & Taxonomies
Clinic/Center, Dental
Primary