Long Lake Family Denistry Valid NPI
Organization · General Practice Dentistry · New Brighton, MN
- NPI
- 1134574163
- Type
- Organization (Type 2)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 10256 (MN)
- Enumerated
- 2016-04-27
- Last updated
- 2016-04-27
Practice location
991 9th Ave Nw
New Brighton, MN 55112-2665
(651) 633-1311