| Lakeland Family Dental | |
|
7200 Hemlock Lane N Fu Wong Dds Pa Suite 105 Maple Grove MN 55369 | |
| (763) 424-4415 | |
| (763) 425-9428 |
| Full Name | Lakeland Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 7200 Hemlock Lane N Fu Wong Dds Pa, Maple Grove, Minnesota |
| Authorized Official Name and Position | Fu Keung Wong (PRESIDENT DENTIST) |
| Authorized Official Contact | 7634244415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Family Dental 7200 Hemlock Lane N Fu Wong Dds Pa Suite 105 Maple Grove MN 55369 Ph: (763) 424-4415 | Lakeland Family Dental 7200 Hemlock Lane N Fu Wong Dds Pa Suite 105 Maple Grove MN 55369 Ph: (763) 424-4415 |
| NPI Number | 1750556627 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750556627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10739 (Minnesota) | Primary |
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