Organization · Type 2 NPI
Lake Area Dental
Dental Clinic/Center · White Bear Lake, MN
NPI number
1265248173
Active
Practice location
4801 Highway 61 N Ste 301
White Bear Lake, MN 55110-2753
Mailing address
140 Wildwood Ct
Mahtomedi, MN 55115-4200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1265248173
Lake Area Dental's National Provider Identifier is 1265248173, issued on Dec 5, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in White Bear Lake, MN. The record was last updated on Dec 5, 2024.