| Lindahl Family Dental Pa | |
|
1811 Weir Dr Suite #265 Woodbury MN 55125-2272 | |
| (651) 702-4200 | |
| (651) 702-0717 |
| Full Name | Lindahl Family Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 1811 Weir Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | Michael Dean Lindahl (DENTIST) |
| Authorized Official Contact | 6517024200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindahl Family Dental Pa 1811 Weir Dr Suite #265 Woodbury MN 55125-2272 Ph: (651) 702-4200 | Lindahl Family Dental Pa 1811 Weir Dr Suite #265 Woodbury MN 55125-2272 Ph: (651) 702-4200 |
| NPI Number | 1952446338 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952446338 | NPI | - | NPPES |
| 707828 | Other | MN | UNITED CONCORDIA TRICARE |
| ZDB012 | Other | MA | BCBS OF MASS PROVIDER # |
| 10D80LI | Other | MN | BCBS MN PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11031 (Minnesota) | Primary |
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