Whalio Doctors

NPI 1003093485

Lakeville Orthodontic Associates LLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Lakeville, MN

Practice location

Address
10440 185th St W Suite 300, Lakeville, MN 55044-6678
Phone
(952) 435-4000
Fax
(952) 435-8001

Authorised official

Name
Scott R Bowlby
Title
Doctor
Phone
(952) 435-4000

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary
Dental Providers Taxonomy 1223X0400X Licence D12240 (MN)

Registry record

NPI
1003093485
Entity type
Organization
NPI issued
28 Jan 2008
Record last updated
28 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.