Organization · Type 2 NPI

Lake Street Family Dental PA

Dentist · Mora, MN

NPI number 1083096085 Active

Practice location

119 Lake St S, Suite 1
Mora, MN 55051-1576

Mailing address

10799 251st Ave NW
Zimmerman, MN 55398-4558

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD13567 (MN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1083096085

Lake Street Family Dental PA's National Provider Identifier is 1083096085, issued on Jun 25, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Mora, MN. The record was last updated on Jun 25, 2015.