LAKEVILLE MODERN DENTISTRY, PLLC

LAKEVILLE, MN
NPI1992403919
Entity TypeOrganization
Authorized ContactERIC M BENDER
President
920-723-8420
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2023-02-20
Last Update Date2023-04-22
Business Address
LAKEVILLE MODERN DENTISTRY, PLLC
17746 KENWOOD TRL
LAKEVILLE, MN 55044-9454
Phone number: 920-723-8420
Mailing Address
LAKEVILLE MODERN DENTISTRY, PLLC
17746 KENWOOD TRL
LAKEVILLE, MN 55044-9454
Phone number: 952-388-1778
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