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Organization
LAKES AREA MOBILE SMILES, INC
Active
Organization
LAKES AREA MOBILE SMILES, INC
Active
Other names
Lakes Mobile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA LEIGH WILSON RDH (PRESIDENT)
(218) 831-3131
Entity
Organization
Contact information
Practice address
22187 STATE HIGHWAY 6, DEERWOOD, MN 56444-6279
(218) 831-3131
(612) 235-3391
Mailing address
22187 STATE HIGHWAY 6, DEERWOOD, MN 56444-6279
(218) 831-3131
(612) 235-3391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12159
MN
Other
Enumeration date
03/27/2007
Last updated
04/10/2008
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