| NPI | 1841515582 |
|---|---|
| Former Legal Business Name | LAKELAND MEDICAL AND DENTAL ACADEMY |
| Entity Type | Organization |
| Authorized Contact | JOHN D SLAMA Campus President 763-535-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |