| Lakeville Advanced Dental Care | |
|
17600 Cedar Ave Lakeville MN 55044-6339 | |
| (952) 232-4185 | |
| Not Available |
| Full Name | Lakeville Advanced Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 17600 Cedar Ave, Lakeville, Minnesota |
| Authorized Official Name and Position | Jeffery Arthur Kohler (OWNER/DENTIST) |
| Authorized Official Contact | 9522324185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeville Advanced Dental Care 17600 Cedar Ave Lakeville MN 55044-6339 Ph: (952) 232-4185 | Lakeville Advanced Dental Care 17600 Cedar Ave Lakeville MN 55044-6339 Ph: (952) 232-4185 |
| NPI Number | 1144743808 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 11/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144743808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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