Northern Lakes Dental, Ltd.

NPI 1003035775 - Dentist - 1223G0001X

NPI Details
NPI 1003035775
Enumeration Date 04/24/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SCOTT ALAN SCOTT
Position PRESIDENT
Phone (218) 736-4000
Fax (218) 736-0766
Practice Location
1108 WESTERN AVE
FERGUS FALLS MN, 56537-4808, US
Phone (218) 736-4000
Fax (218) 736-0766
Business Location
1108 WESTERN AVE
FERGUS FALLS MN, 56537-4808, US
Phone (218) 736-4000
Fax (218) 736-0766
Toxanomy
Taxonomy Code 1223G0001X
License State Minnesota
License Number 10677
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According to our database, Northern Lakes Dental, Ltd. NPI is 1003035775, taxonomy code is 1223G0001X and license number is 10677, license state is located at Minnesota. Northern Lakes Dental, Ltd. physically located at 1108 Western Ave, Fergus Falls MN, 56537-4808. NPI Number 1033115704 has the healthcare provider type.

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1003035775 NPI number is provided on an as is basis without warranty of any kind. 1003035775 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Lakes Dental, Ltd. are for informational purposes only.