Laketown Dental | |
300 Park Street East Annandale MN 55302 | |
(320) 274-8555 | |
Not Available |
Full Name | Laketown Dental |
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Speciality | Dentist - General Practice |
Location | 300 Park Street East, Annandale, Minnesota |
Authorized Official Name and Position | Eric Jere Rambow (DENTIST/PRESIDENT) |
Authorized Official Contact | 3205892161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Laketown Dental 300 Park St E Annandale MN 55302-1207 Ph: (320) 274-8555 | Laketown Dental 300 Park Street East Annandale MN 55302 Ph: (320) 274-8555 |
NPI Number | 1295100626 |
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Provider Enumeration Date | 12/10/2015 |
Last Update Date | 12/10/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295100626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Annandale Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 Oak Ave S, Unit #3, Annandale, MN 55302 Phone: 320-274-2475 Fax: 320-274-3152 |