Organization · Type 2 NPI
Northern Lakes Dental - Riverfront, LLC
Dental Clinic/Center · Fergus Falls, MN
NPI number
1013554310
Active
Practice location
124 E Lincoln Ave
Fergus Falls, MN 56537-2217
Fax (218) 736-6955
Mailing address
1108 Western Ave
Fergus Falls, MN 56537-4808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1013554310
Northern Lakes Dental - Riverfront, LLC's National Provider Identifier is 1013554310, issued on Dec 5, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fergus Falls, MN. The record was last updated on Dec 5, 2019.