| Lesmeister Dental | |
|
105 International Drive, Suite 110 Red Lake Falls MN 56750-0236 | |
| (218) 256-4204 | |
| (218) 253-4205 |
| Full Name | Lesmeister Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 International Drive, Suite 110, Red Lake Falls, Minnesota |
| Authorized Official Name and Position | Joanna D Nesvold (OFFICE MANAGER) |
| Authorized Official Contact | 2182534204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lesmeister Dental 105 International Drive, Suite 110 Po Box 236 Red Lake Falls MN 56750-0236 Ph: (218) 256-4204 | Lesmeister Dental 105 International Drive, Suite 110 Red Lake Falls MN 56750-0236 Ph: (218) 256-4204 |
| NPI Number | 1295180313 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295180313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12845 (Minnesota) | Primary |