Organization
LILAH SUZAN EKIM DDS, MS. PLLC
Active
Other names
Ekim Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODY LYNN GUNDERSON (OFFICE MANAGER)
(952) 447-6077
Entity
Organization
Contact information
Practice address
16190 ERIE AVE SE, PRIOR LAKE, MN 55372
(952) 447-6077
Mailing address
16190 ERIER AVE SE, PRIOR LAKE, MN 55372
(952) 447-6077
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/21/2007
Last updated
07/29/2008
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