| 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 |