| Moore Lake Dental | |
|
6230 Highway 65 Ne Suite 105 Fridley MN 55432-5107 | |
| (763) 571-5497 | |
| Not Available |
| Full Name | Moore Lake Dental |
|---|---|
| Speciality | Dentist |
| Location | 6230 Highway 65 Ne, Fridley, Minnesota |
| Authorized Official Name and Position | Lisa Murray Perez (OWNER) |
| Authorized Official Contact | 6124142182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Lake Dental 6230 Highway 65 Ne Suite 105 Fridley MN 55432-5107 Ph: (763) 571-5497 | Moore Lake Dental 6230 Highway 65 Ne Suite 105 Fridley MN 55432-5107 Ph: (763) 571-5497 |
| NPI Number | 1386035590 |
|---|---|
| Provider Enumeration Date | 02/10/2015 |
| Last Update Date | 02/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386035590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D10520 (Minnesota) | Primary |
The Dental Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-571-9990 Fax: 763-572-2226 | |
Minneapolis-st. Paul Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 East Moore Lake Drive, Fridley, MN 55432 Phone: 651-439-2600 Fax: 651-439-2211 | |
The Dental Specialists-orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Moore Lake Dr E, Fridley, MN 55432 Phone: 763-572-2224 | |
Lapinski Family Dentistry Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Mississippi St Ne, Fridley, MN 55432 Phone: 763-574-7505 Fax: 763-574-7506 | |
Northern Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Moore Lake Dr E, Fridley, MN 55432 Phone: 651-351-7777 Fax: 651-439-2211 | |
Associated Oral And Maxillofacial Surgeons, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7136 University Ave Ne, Fridley, MN 55432 Phone: 763-574-1639 |