institution
Lakeville Modern Dentistry, Pllc
Dental Clinic/Center in Lakeville, Minnesota
NPI 1992403919

Lakeville Modern Dentistry, Pllc is a Dental Clinic/Center based in Lakeville, MN and is specialized in Dental. Lakeville Modern Dentistry, Pllc practices in Lakeville, MN. The NPI Number for Lakeville Modern Dentistry, Pllc is 1992403919 and holds a License No. (Minnesota).

The current practice location address for Lakeville Modern Dentistry, Pllc is 17746 Kenwood Trl, Lakeville, MN and can be reached out via phone at 920-723-8420.

Location: 17746 Kenwood Trl, Lakeville, MN, 55044-9454
institution
Provider Profile Details
NPI Number
1992403919
Provider Name
Lakeville Modern Dentistry, Pllc
Credential
Provider Entity Type
Organization
Address
17746 Kenwood Trl, Lakeville, MN, 55044-9454
Phone Number
920-723-8420
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194394288 01 NPI TYPE I
institution
Provider Business Practice Location Address Details
Address
17746 Kenwood Trl
City
State
Zip
55044-9454
Phone Number
920-723-8420
Fax Number
person
Provider Business Mailing Address Details
Address
17746 Kenwood Trl
City
State
Zip
55044-9454
Phone Number
920-723-8420
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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