La Belle Periodontics Inc | |
5901 Brooklyn Blvd #206 Brooklyn Cntr MN 55429-2533 | |
(763) 535-1616 | |
(763) 535-6687 |
Full Name | La Belle Periodontics Inc |
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Speciality | Dentist |
Location | 5901 Brooklyn Blvd, Brooklyn Cntr, Minnesota |
Authorized Official Name and Position | Leilani L La Belle (PRESIDENT) |
Authorized Official Contact | 7635351616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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La Belle Periodontics Inc 5901 Brooklyn Blvd #206 Brooklyn Cntr MN 55429-2533 Ph: (763) 535-1616 | La Belle Periodontics Inc 5901 Brooklyn Blvd #206 Brooklyn Cntr MN 55429-2533 Ph: (763) 535-1616 |
NPI Number | 1881754950 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1881754950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 9944 (Minnesota) | Primary |