Organization
LAKE MILLS FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MEHLHOFF D.D.S. (PRESIDENT)
(641) 592-2200
Entity
Organization
Contact information
Practice address
206 E MAIN ST, LAKE MILLS, IA 50450-1442
(641) 592-2200
Mailing address
206 E MAIN ST, LAKE MILLS, IA 50450-1442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09120
IA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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