| Isaacson Gentle Dentistry | |
|
4700 White Bear Pkwy White Bear Lake MN 55110-3336 | |
| (651) 762-7677 | |
| Not Available |
| Full Name | Isaacson Gentle Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4700 White Bear Pkwy, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Daniel Isaacson (OWNER/DENTIST) |
| Authorized Official Contact | 6517627677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaacson Gentle Dentistry 4700 White Bear Pkwy White Bear Lake MN 55110-3336 Ph: (651) 762-7677 | Isaacson Gentle Dentistry 4700 White Bear Pkwy White Bear Lake MN 55110-3336 Ph: (651) 762-7677 |
| NPI Number | 1801037437 |
|---|---|
| Provider Enumeration Date | 03/11/2009 |
| Last Update Date | 03/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801037437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D10872 (Minnesota) | Primary |
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