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 |