| NPI | 1013328608 |
|---|---|
| Doing Business As | LAKE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KYLE JOHN SKJEI Dentist 763-262-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN 12781) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |