Glen Lake Dental Associates, P.a.

NPI 1003062084 - Dentist - 1223G0001X

NPI Details
NPI 1003062084
Enumeration Date 08/11/2008
Last Updated 08/11/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KENT KENT
Position PRESIDENT
Phone (952) 935-5212
Fax (952) 935-1391
Practice Location
14418 EXCELSIOR BLVD
MINNETONKA MN, 55345-5820, US
Phone (952) 935-5212
Fax (952) 935-1391
Business Location
14418 EXCELSIOR BLVD
MINNETONKA MN, 55345-5820, US
Phone (952) 935-5212
Fax (952) 935-1391
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number D9306
Remove 1003062084 NPI Number
 

According to our database, Glen Lake Dental Associates, P.a. NPI is 1003062084, taxonomy code is 1223G0001X and license number is D9306, license state is located at Minnesota. Glen Lake Dental Associates, P.a. physically located at 14418 Excelsior Blvd, Minnetonka MN, 55345-5820. NPI Number 1033115704 has the healthcare provider type.

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1003062084 NPI number is provided on an as is basis without warranty of any kind. 1003062084 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Lake Dental Associates, P.a. are for informational purposes only.