Organization · Type 2 NPI
West Lakes Dentistry, PA
Oral and Maxillofacial Surgery (Dentist) · Mound, MN
NPI number
1497113674
Active
Practice location
5205 Shoreline Dr
Mound, MN 55364-1770
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D11974 (MN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
About NPI 1497113674
West Lakes Dentistry, PA's National Provider Identifier is 1497113674, issued on Feb 3, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mound, MN. The record was last updated on Feb 3, 2016.