| Lakewood Dental - Pine Island Llc | |
|
232 S Main St Pine Island MN 55963-9190 | |
| (715) 833-8755 | |
| Not Available |
| Full Name | Lakewood Dental - Pine Island Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 232 S Main St, Pine Island, Minnesota |
| Authorized Official Name and Position | Genie Kuble (ACCESS MANAGER) |
| Authorized Official Contact | 9204500157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Dental - Pine Island Llc 232 S Main St Pine Island MN 55963-9190 Ph: (715) 833-8755 | Lakewood Dental - Pine Island Llc 232 S Main St Pine Island MN 55963-9190 Ph: (715) 833-8755 |
| NPI Number | 1548012644 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548012644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |