Lakes Dental Assoc Pa

NPI 1255490389 - Dentist - 122300000X

NPI Details
NPI 1255490389
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RODNEY A RODNEY
Position OWNER DENTIST
Phone (651) 464-7277
Fax (651) 464-6857
Practice Location
956 WEST BROADWAY
FOREST LAKE MN, 55025, US
Phone (651) 464-7277
Fax (651) 464-6857
Business Location
PO BOX 278
FOREST LAKE MN, 55025, US
Phone (651) 257-3246
Fax (651) 464-6857
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 8907
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According to our database, Lakes Dental Assoc Pa NPI is 1255490389, taxonomy code is 122300000X and license number is 8907, license state is located at Minnesota. Lakes Dental Assoc Pa physically located at 956 West Broadway, Forest Lake MN, 55025. NPI Number 1033115704 has the healthcare provider type.

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1255490389 NPI number is provided on an as is basis without warranty of any kind. 1255490389 is maintained by the National Plan & Provider Enumeration System. The contents of Lakes Dental Assoc Pa are for informational purposes only.