Organization · Type 2 NPI

Round Lake Family Dentistry, PLLC

Dental Clinic/Center · Andover, MN

NPI number 1730655242 Active

Practice location

13841 Round Lake Blvd NW
Andover, MN 55304-3664

Mailing address

7493 147th St W Ste 100
Apple Valley, MN 55124-7570

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1730655242

Round Lake Family Dentistry, PLLC's National Provider Identifier is 1730655242, issued on Oct 23, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Andover, MN. The record was last updated on Oct 23, 2018.