| Willow Lake Dental | |
|
3475 Willow Lake Blvd Suite 100 Vadnais Heights MN 55110-5156 | |
| (651) 341-2106 | |
| Not Available |
| Full Name | Willow Lake Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3475 Willow Lake Blvd, Vadnais Heights, Minnesota |
| Authorized Official Name and Position | Mark St Dennis (GENERAL MANAGER) |
| Authorized Official Contact | 6513412106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Lake Dental 3475 Willow Lake Blvd Suite 100 Vadnais Heights MN 55110-5156 Ph: (651) 341-2106 | Willow Lake Dental 3475 Willow Lake Blvd Suite 100 Vadnais Heights MN 55110-5156 Ph: (651) 341-2106 |
| NPI Number | 1508318247 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 10/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508318247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Advance Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 County Road E E, Suite 185, Vadnais Heights, MN 55127 Phone: 651-482-1122 Fax: 651-766-2557 | |
Vadnais Heights Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1230 County Road E E, Vadnais Heights, MN 55110 Phone: 651-482-0180 Fax: 651-482-7957 |