| NPI | 1144743808 |
|---|---|
| Doing Business As | LAKEVILLE ADVANCED DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JEFFERY ARTHUR KOHLER Owner/Dentist 952-232-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-11-18 |