| Chain Of Lakes Dental, Pllc | |
|
34 Main St E Richmond MN 56368-8238 | |
| (320) 597-2453 | |
| Not Available |
| Full Name | Chain Of Lakes Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 34 Main St E, Richmond, Minnesota |
| Authorized Official Name and Position | Shawn Michael Spoden (OWNER/DENTIST) |
| Authorized Official Contact | 3205972453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chain Of Lakes Dental, Pllc 111 7th Ave N Sartell MN 56377-1858 Ph: (612) 805-9134 | Chain Of Lakes Dental, Pllc 34 Main St E Richmond MN 56368-8238 Ph: (320) 597-2453 |
| NPI Number | 1730738295 |
|---|---|
| Provider Enumeration Date | 09/08/2019 |
| Last Update Date | 09/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730738295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |