Organization · Type 2 NPI

Glen Lake Family Dentistry P.l.l.c.

General Practice Dentistry · Minnetonka, MN

NPI number 1740215656 Active

About NPI 1740215656

Glen Lake Family Dentistry P.l.l.c.'s National Provider Identifier is 1740215656, issued on Jul 11, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Minnetonka, MN. The record was last updated on Oct 21, 2009.