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 |
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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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