Lakewood Dental - Pine Island Llc | |
232 S Main St Pine Island MN 55963-9190 | |
(715) 833-8755 | |
Not Available |
Full Name | Lakewood Dental - Pine Island Llc |
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Speciality | Dentist - General Practice |
Location | 232 S Main St, Pine Island, Minnesota |
Authorized Official Name and Position | Genie Kuble (ACCESS MANAGER) |
Authorized Official Contact | 9204500157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakewood Dental - Pine Island Llc 232 S Main St Pine Island MN 55963-9190 Ph: (715) 833-8755 | Lakewood Dental - Pine Island Llc 232 S Main St Pine Island MN 55963-9190 Ph: (715) 833-8755 |
NPI Number | 1548012644 |
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Provider Enumeration Date | 04/02/2024 |
Last Update Date | 04/02/2024 |
Identifier | Type | State | Issuer |
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1548012644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |