Organization · Type 2 NPI

Glen Lake Dental Associates, P.a.

General Practice Dentistry · Minnetonka, MN

NPI number 1003062084 Active

About NPI 1003062084

Glen Lake Dental Associates, P.a.'s National Provider Identifier is 1003062084, issued on Aug 11, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Minnetonka, MN. The record was last updated on Aug 11, 2008.