| Lakes Area Mobile Smiles, Inc | |
|
22187 State Highway 6 Deerwood MN 56444-6279 | |
| (218) 831-3131 | |
| (612) 235-3391 |
| Full Name | Lakes Area Mobile Smiles, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22187 State Highway 6, Deerwood, Minnesota |
| Authorized Official Name and Position | Rebecca Leigh Wilson (PRESIDENT) |
| Authorized Official Contact | 2188313131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Area Mobile Smiles, Inc 22187 State Highway 6 Deerwood MN 56444-6279 Ph: (218) 831-3131 | Lakes Area Mobile Smiles, Inc 22187 State Highway 6 Deerwood MN 56444-6279 Ph: (218) 831-3131 |
| NPI Number | 1508984410 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508984410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12159 (Minnesota) | Primary |