| Lakeland Family Dental | |
|
106 Broadway Street East Monticello MN 55362 | |
| (763) 295-3036 | |
| (763) 295-4514 |
| Full Name | Lakeland Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 106 Broadway Street East, Monticello, Minnesota |
| Authorized Official Name and Position | Fu Wong (PRESIDENT) |
| Authorized Official Contact | 7634244415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Family Dental 106 Broadway St East Monticello MN 55362-9351 Ph: (763) 295-3036 | Lakeland Family Dental 106 Broadway Street East Monticello MN 55362 Ph: (763) 295-3036 |
| NPI Number | 1538328059 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538328059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10739 (Minnesota) | Primary |
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