| Northern Lights Family Dentistry,pc | |
|
603 Emily Ave. Nw Warroad MN 56763 | |
| (218) 386-2889 | |
| Not Available |
| Full Name | Northern Lights Family Dentistry,pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 603 Emily Ave. Nw, Warroad, Minnesota |
| Authorized Official Name and Position | Cynthia Faye Drost-sandy (DENTIST/PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 2183862889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Lights Family Dentistry,pc 603 Emily Ave. Nw Warroad MN 56763 Ph: (218) 386-2889 | Northern Lights Family Dentistry,pc 603 Emily Ave. Nw Warroad MN 56763 Ph: (218) 386-2889 |
| NPI Number | 1841463072 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841463072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D11132 (Minnesota) | Primary |
Lake Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 South State Ave, Warroad, MN 56763 Phone: 218-386-1048 Fax: 218-386-1049 |