| Lakeside Dentistry | |
|
24 W Silver Lake Dr Ne Rochester MN 55906-3640 | |
| (507) 282-8222 | |
| Not Available |
| Full Name | Lakeside Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 24 W Silver Lake Dr Ne, Rochester, Minnesota |
| Authorized Official Name and Position | Lulu Gores (ADMINISTRATOR) |
| Authorized Official Contact | 5072828222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Dentistry 24 W Silver Lake Dr Ne Rochester MN 55906-3640 Ph: () - | Lakeside Dentistry 24 W Silver Lake Dr Ne Rochester MN 55906-3640 Ph: (507) 282-8222 |
| NPI Number | 1457525875 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457525875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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