Organization · Type 2 NPI
Round Lake Dental P.a.
Pediatric Dentistry · Andover, MN
NPI number
1376676445
Active
Practice location
13841 Round Lake Blvd NW
Andover, MN 55304-3664
Fax (763) 576-0156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D10339 (MN) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1376676445
Round Lake Dental P.a.'s National Provider Identifier is 1376676445, issued on Mar 14, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Andover, MN. The record was last updated on Aug 22, 2020.