Long Lake Family Denistry | |
991 9th Ave Nw New Brighton MN 55112-2665 | |
(651) 633-1311 | |
(651) 633-4339 |
Full Name | Long Lake Family Denistry |
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Speciality | Dentist - General Practice |
Location | 991 9th Ave Nw, New Brighton, Minnesota |
Authorized Official Name and Position | Hossein A Jalali (OWNER) |
Authorized Official Contact | 6516331311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Long Lake Family Denistry 991 9th Ave Nw New Brighton MN 55112-2665 Ph: (651) 633-1311 | Long Lake Family Denistry 991 9th Ave Nw New Brighton MN 55112-2665 Ph: (651) 633-1311 |
NPI Number | 1134574163 |
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Provider Enumeration Date | 04/27/2016 |
Last Update Date | 04/27/2016 |
Identifier | Type | State | Issuer |
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1134574163 | NPI | - | NPPES |
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Brian L. Pierce, D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 969 Old Highway 8 Nw, Suite 200, New Brighton, MN 55112 Phone: 651-639-8445 Fax: 651-633-1707 |