Organization
LAKES ORTHODONTIC ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LEE DENIS DDS, MS (CEO)
(651) 777-7300
Entity
Organization
Contact information
Practice address
1668 COPE AVE E, MAPLEWOOD, MN 55109-2655
(651) 777-7300
(651) 777-9131
Mailing address
1668 COPE AVE E, MAPLEWOOD, MN 55109-2655
(651) 777-7300
(651) 777-9131
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9462
MN
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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