| Eric M Knaff P.a. | |
|
69 Lake St N Ste 100 Forest Lake MN 55025-2527 | |
| (651) 464-3425 | |
| (651) 464-5432 |
| Full Name | Eric M Knaff P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 69 Lake St N Ste 100, Forest Lake, Minnesota |
| Authorized Official Name and Position | Eric M Knaff (OWNER/ DENTIST) |
| Authorized Official Contact | 6514643425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric M Knaff P.a. 69 Lake St N Ste 100 Forest Lake MN 55025-2527 Ph: (651) 464-3425 | Eric M Knaff P.a. 69 Lake St N Ste 100 Forest Lake MN 55025-2527 Ph: (651) 464-3425 |
| NPI Number | 1497094908 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497094908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12137 (Minnesota) | Primary |
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