NPI | 1750556627 |
---|---|
Doing Business As | LAKELAND FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | FU KEUNG WONG President Dentist 763-424-4415 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: MN 10739) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |