| West Lakes Dentistry | |
|
132 Pioneer Trl Chaska MN 55318-1167 | |
| (952) 361-3740 | |
| Not Available |
| Full Name | West Lakes Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 132 Pioneer Trl, Chaska, Minnesota |
| Authorized Official Name and Position | Stephanie Lynn Miner (PRESIDENT) |
| Authorized Official Contact | 6123875009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Lakes Dentistry 1635 Sunnybrook Cir Minnetrista MN 55364-1276 Ph: (161) 238-75009 | West Lakes Dentistry 132 Pioneer Trl Chaska MN 55318-1167 Ph: (952) 361-3740 |
| NPI Number | 1699204172 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 06/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699204172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D11974 (Minnesota) | Primary |
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