Organization
LILAH SUZAN EKIM DDS, MS. PLLC
Active
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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