NPI 1053614867
Lakeville Dental Associates, PA
Practice location
- Address
- 20171 Icenic Trl, Lakeville, MN 55044-7708
- Phone
- (952) 469-3300
Authorised official
- Name
- Rose a Harrison
- Title
- Manager
- Phone
- (952) 469-3300
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1053614867
- Entity type
- Organization
- NPI issued
- 16 Dec 2010
- Record last updated
- 17 Oct 2011
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.