| NPI | 1033710025 |
|---|---|
| Doing Business As | SILVER LAKE DENTAL |
| Entity Type | Organization |
| Authorized Contact | THERESA M. SNELL Owner 651-633-6087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |