| NPI | 1023664935 |
|---|---|
| Doing Business As | LAKES ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ESTEE WANG Owner 651-765-1945 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |