| Round Lake Family Dentistry, Pllc | |
|
13841 Round Lake Blvd Nw Andover MN 55304-3664 | |
| (763) 427-0285 | |
| Not Available |
| Full Name | Round Lake Family Dentistry, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13841 Round Lake Blvd Nw, Andover, Minnesota |
| Authorized Official Name and Position | Phillip Zhan (OWNER) |
| Authorized Official Contact | 6123089416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Round Lake Family Dentistry, Pllc 7493 147th St W Ste 100 Apple Valley MN 55124-7570 Ph: (952) 432-7145 | Round Lake Family Dentistry, Pllc 13841 Round Lake Blvd Nw Andover MN 55304-3664 Ph: (763) 427-0285 |
| NPI Number | 1730655242 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730655242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Ham Lake Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16220 Aberdeen St Ne Ste A1, Andover, MN 55304 Phone: 763-415-7831 | |
Round Lake Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13841 Round Lake Blvd Nw, Andover, MN 55304 Phone: 763-427-0285 Fax: 763-576-0156 | |
Integra Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13783 Ibis St Nw, Suite 400, Andover, MN 55304 Phone: 612-384-0527 | |
Custom Smiles Dentistry, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2258 Bunker Lake Blvd Nw, Andover, MN 55304 Phone: 763-390-8995 Fax: 763-390-8999 | |
Andover Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3480 Bunker Lake Blvd Nw, Suite 202, Andover, MN 55304 Phone: 763-427-4780 Fax: 763-427-8471 |