| Lakes Dental Care Plc | |
|
14213 Golf Course Dr Suite 100 Baxter MN 56425 | |
| (218) 829-4511 | |
| (218) 829-5483 |
| Full Name | Lakes Dental Care Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14213 Golf Course Dr, Baxter, Minnesota |
| Authorized Official Name and Position | Jeffrey Emerald Olson (OWNER PARTNER) |
| Authorized Official Contact | 2188294511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Dental Care Plc 14213 Golf Course Dr Suite 100 Baxter MN 56425 Ph: (218) 829-4511 | Lakes Dental Care Plc 14213 Golf Course Dr Suite 100 Baxter MN 56425 Ph: (218) 829-4511 |
| NPI Number | 1609889302 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609889302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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