Lakes Orthodontic Associates, P.a.

NPI 1245393230 - Dentist - 1223X0400X

NPI Details
NPI 1245393230
Enumeration Date 12/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEVIN LEE KEVIN
Position CEO
Phone (651) 777-7300
Fax (651) 777-9131
Practice Location
1668 COPE AVE E
MAPLEWOOD MN, 55109-2655, US
Phone (651) 777-7300
Fax (651) 777-9131
Business Location
1668 COPE AVE E
MAPLEWOOD MN, 55109-2655, US
Phone (651) 777-7300
Fax (651) 777-9131
Toxanomy
Taxonomy Code 1223X0400X
License State Minnesota
License Number 9462
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According to our database, Lakes Orthodontic Associates, P.a. NPI is 1245393230, taxonomy code is 1223X0400X and license number is 9462, license state is located at Minnesota. Lakes Orthodontic Associates, P.a. physically located at 1668 Cope Ave E, Maplewood MN, 55109-2655. NPI Number 1033115704 has the healthcare provider type.

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1245393230 NPI number is provided on an as is basis without warranty of any kind. 1245393230 is maintained by the National Plan & Provider Enumeration System. The contents of Lakes Orthodontic Associates, P.a. are for informational purposes only.