Organization · Type 2 NPI

Great Lakes Endodontics

Dental Clinic/Center · Hermantown, MN

NPI number 1104255371 Active

About NPI 1104255371

Great Lakes Endodontics's National Provider Identifier is 1104255371, issued on Nov 7, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hermantown, MN. The record was last updated on Nov 7, 2013.