| Birch Lake Dental Pa | |
|
2641 White Bear Parkway White Bear Lake MN 55110 | |
| (651) 429-0404 | |
| (651) 429-0472 |
| Full Name | Birch Lake Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2641 White Bear Parkway, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Geetha J Damodaran (OWNER) |
| Authorized Official Contact | 6514290404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Lake Dental Pa 2641 White Bear Parkway White Bear Lake MN 55110 Ph: (651) 429-0404 | Birch Lake Dental Pa 2641 White Bear Parkway White Bear Lake MN 55110 Ph: (651) 429-0404 |
| NPI Number | 1083853113 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083853113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D10949MN (Minnesota) | Primary |
| 1223G0001X | Dentist - General Practice | 7712MN (Minnesota) | Secondary |
Century College Dental Hygiene Program Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Century Ave N, East Campus - Dental Clinic, White Bear Lake, MN 55110 Phone: 651-779-3983 Fax: 651-779-3401 | |
Oakwood Dental Group, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Bellaire Ave, White Bear Lake, MN 55110 Phone: 651-426-0038 Fax: 651-653-9923 | |
Roger G. Ettel D.d.s. & Associates, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 Highway 61 N # Su-300, White Bear Lake, MN 55110 Phone: 651-429-2299 Fax: 651-429-6630 | |
Healthpartners White Bear Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-426-9502 Fax: 651-653-2158 | |
Signature Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2126 5th St, White Bear Lake, MN 55110 Phone: 651-426-9986 Fax: 651-653-4653 | |
White Bear Smiles, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4778 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-8998 |