| Lakeview Family Dentistry Llc | |
|
14475 Forest Blvd N Hugo MN 55038-7461 | |
| (651) 426-8088 | |
| Not Available |
| Full Name | Lakeview Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14475 Forest Blvd N, Hugo, Minnesota |
| Authorized Official Name and Position | Andrew James Carrell (DENTIST) |
| Authorized Official Contact | 6122029749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Family Dentistry Llc 14475 Forest Blvd N Hugo MN 55038-7461 Ph: (651) 426-8088 | Lakeview Family Dentistry Llc 14475 Forest Blvd N Hugo MN 55038-7461 Ph: (651) 426-8088 |
| NPI Number | 1881091486 |
|---|---|
| Provider Enumeration Date | 11/25/2014 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881091486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D12901 (Minnesota) | Primary |
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