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Lakeville Orthodontic Associates Llc Valid NPI

Organization · Orthodontics and Dentofacial Orthopedics Dentistry · Lakeville, MN

NPI
1003093485
Type
Organization (Type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223X0400X
License number
D12240 (MN)
Enumerated
2008-01-28
Last updated
2008-01-28
Practice location
10440 185th St W, Suite 300
Lakeville, MN 55044-6678
(952) 435-4000

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