Lakes Mobile Dental | |
22187 State Highway 6 Deerwood MN 56444-6279 | |
(218) 831-3131 | |
(612) 235-3391 |
Full Name | Lakes Mobile Dental |
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Speciality | Dentist - General Practice |
Location | 22187 State Highway 6, Deerwood, Minnesota |
Authorized Official Name and Position | Rebecca Leigh Wilson (PRESIDENT) |
Authorized Official Contact | 2188313131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakes Mobile Dental 22187 State Highway 6 Deerwood MN 56444-6279 Ph: (218) 831-3131 | Lakes Mobile Dental 22187 State Highway 6 Deerwood MN 56444-6279 Ph: (218) 831-3131 |
NPI Number | 1508984410 |
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Provider Enumeration Date | 03/27/2007 |
Last Update Date | 04/10/2008 |
Identifier | Type | State | Issuer |
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1508984410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D12159 (Minnesota) | Primary |