| Lakeville Family Dental Centre Pa | |
|
16375 Kenrick Ave Ste 200 Lakeville MN 55044-8494 | |
| (952) 435-5905 | |
| (952) 435-6291 |
| Full Name | Lakeville Family Dental Centre Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16375 Kenrick Ave Ste 200, Lakeville, Minnesota |
| Authorized Official Name and Position | Lia Ann Bedeaux (OPERATION MGR.) |
| Authorized Official Contact | 9524355905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeville Family Dental Centre Pa 16375 Kenrick Ave Ste 200 Lakeville MN 55044-8494 Ph: (952) 435-5905 | Lakeville Family Dental Centre Pa 16375 Kenrick Ave Ste 200 Lakeville MN 55044-8494 Ph: (952) 435-5905 |
| NPI Number | 1255442620 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255442620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Minnesota) | Primary |
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