Lindstrom Family Dentistry Llc

NPI 1225112022 - Dentist - 1223G0001X

NPI Details
NPI 1225112022
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL ALLEN MICHAEL
Position MANAGING MEMBER
Phone (651) 257-4471
Fax (651) 257-2017
Practice Location
30554 PARK STREET NORTH
LINDSTROM MN, 55045, US
Phone (651) 257-4471
Fax (651) 257-2017
Business Location
PO BOX 705
30554 PARK STREET NORTH
LINDSTROM MN, 55045, US
Phone (651) 257-4471
Fax (651) 257-2017
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 8021
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According to our database, Lindstrom Family Dentistry Llc NPI is 1225112022, taxonomy code is 1223G0001X and license number is 8021, license state is located at Minnesota. Lindstrom Family Dentistry Llc physically located at 30554 Park Street North, Lindstrom MN, 55045. NPI Number 1033115704 has the healthcare provider type.

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1225112022 NPI number is provided on an as is basis without warranty of any kind. 1225112022 is maintained by the National Plan & Provider Enumeration System. The contents of Lindstrom Family Dentistry Llc are for informational purposes only.