Organization · Type 2 NPI
Glen Lake Dental
Dental Clinic/Center · Minnetonka, MN
NPI number
1376386607
Active
Practice location
14421 Excelsior Blvd
Minnetonka, MN 55345-5821
Fax (952) 935-1391
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 1376386607
Glen Lake Dental's National Provider Identifier is 1376386607, issued on Jun 14, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Minnetonka, MN. The record was last updated on Jun 14, 2024.