| NPI | 1427027184 |
|---|---|
| Doing Business As | SOUTH LAKE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | DALE T DOBRIN Owner/Medical Director 952-401-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 556) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2024-09-23 |