| Lakeville Orthodontic Associates Llc | |
|
10440 185th St W Suite 300 Lakeville MN 55044-6678 | |
| (952) 435-4000 | |
| (952) 435-8001 |
| Full Name | Lakeville Orthodontic Associates Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10440 185th St W, Lakeville, Minnesota |
| Authorized Official Name and Position | Scott R Bowlby (DOCTOR) |
| Authorized Official Contact | 9524354000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeville Orthodontic Associates Llc 10440 185th St W Suite 300 Lakeville MN 55044-6678 Ph: (952) 435-4000 | Lakeville Orthodontic Associates Llc 10440 185th St W Suite 300 Lakeville MN 55044-6678 Ph: (952) 435-4000 |
| NPI Number | 1003093485 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003093485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D12240 (Minnesota) | Primary |
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