| Lakeshore Family Dentistry Pa | |
|
4706 Banning Ave White Bear Lake MN 55110 | |
| (651) 429-3348 | |
| (651) 429-3945 |
| Full Name | Lakeshore Family Dentistry Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4706 Banning Ave, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Jonni D Delgreco (OFFICE MANAGER) |
| Authorized Official Contact | 6514293348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Family Dentistry Pa 4706 Banning Ave White Bear Lake MN 55110 Ph: (651) 429-3348 | Lakeshore Family Dentistry Pa 4706 Banning Ave White Bear Lake MN 55110 Ph: (651) 429-3348 |
| NPI Number | 1669585154 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669585154 | NPI | - | NPPES |
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