| Anderson Lake Dental | |
|
8775 Columbine Rd Eden Prairie MN 55344-6695 | |
| (952) 942-0823 | |
| Not Available |
| Full Name | Anderson Lake Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8775 Columbine Rd, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Shiraz Mohammad Asif (OWNER/DENTIST) |
| Authorized Official Contact | 9529420823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Lake Dental 8775 Columbine Rd Eden Prairie MN 55344-6695 Ph: (952) 942-0823 | Anderson Lake Dental 8775 Columbine Rd Eden Prairie MN 55344-6695 Ph: (952) 942-0823 |
| NPI Number | 1215174917 |
|---|---|
| Provider Enumeration Date | 01/16/2009 |
| Last Update Date | 01/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215174917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | D12191 (Minnesota) | Secondary |
Omega Dental Care, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6203 Dell Rd, Eden Prairie, MN 55346 Phone: 952-460-9100 | |
Brilliant Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7727 Flying Cloud Dr, Eden Prairie, MN 55344 Phone: 952-944-2052 | |
Dr. Angela Wandera And Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8785 Columbine Rd, Eden Prairie, MN 55344 Phone: 952-941-7393 Fax: 952-941-2162 | |
Prairie Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6608 Flying Cloud Dr, Eden Prairie, MN 55344 Phone: 952-903-5000 Fax: 952-944-0642 | |
Group Health Plan, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8455 Flying Cloud Dr, Eden Prairie, MN 55344 Phone: 952-883-9040 Fax: 952-941-8857 | |
Parkway Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16518 W 78th St, Eden Prairie, MN 55346 Phone: 952-937-2137 |