Organization · Type 2 NPI
Lake Josephine Family Dental LLC
Dental Clinic/Center · Roseville, MN
NPI number
1366187643
Active
Practice location
2960 Snelling Ave N
Roseville, MN 55113-2458
Fax (651) 636-5053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1366187643
Lake Josephine Family Dental LLC's National Provider Identifier is 1366187643, issued on May 2, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Roseville, MN. The record was last updated on May 2, 2022.