GLEN LAKE DENTAL ASSOCIATES, P.A.

MINNETONKA, MN
NPI1003062084
Entity TypeOrganization
Authorized ContactKENT CASSIDY
President
952-935-5212
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MN  D9306)
Enumeration Date2008-08-11
Last Update Date2008-08-11
Business Address
GLEN LAKE DENTAL ASSOCIATES, P.A.
14418 EXCELSIOR BLVD
MINNETONKA, MN 55345-5820
Phone number: 952-935-5212
Mailing Address
GLEN LAKE DENTAL ASSOCIATES, P.A.
14418 EXCELSIOR BLVD
MINNETONKA, MN 55345-5820
Phone number: 952-935-5212