| Minnesota Lakes Dental, Pllc | |
|
4270 Maine Ave Se Ste 200 Rochester MN 55904-6936 | |
| (507) 282-4401 | |
| (507) 282-4407 |
| Full Name | Minnesota Lakes Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4270 Maine Ave Se Ste 200, Rochester, Minnesota |
| Authorized Official Name and Position | Marshall Morris (OWNER/DENTIST) |
| Authorized Official Contact | 5072824401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minnesota Lakes Dental, Pllc 4270 Maine Ave Se Ste 200 Rochester MN 55904-6936 Ph: (507) 282-4401 | Minnesota Lakes Dental, Pllc 4270 Maine Ave Se Ste 200 Rochester MN 55904-6936 Ph: (507) 282-4401 |
| NPI Number | 1538765029 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538765029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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