NPI 1255442620

Lakeville Family Dental Centre PA

Organisation General Practice Dentistry Lakeville, MN

Practice location

Address: 16375 Kenrick Ave STE 200, Lakeville, MN 55044-8494
Phone: (952) 435-5905
Fax: (952) 435-6291

Authorised official

Name: Lia Ann Bedeaux
Title: Operation Mgr.
Phone: (952) 435-5905

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1255442620
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 22 Aug 2020

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.