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1215590575
LAKE MINNETONKA DENTAL CENTER PLLC
WAYZATA, MN
NPI
1215590575
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Entity Type
Organization
Authorized Contact
MIKE COLE
VP Insurance Plan Management
941-955-3150
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
LAKE MINNETONKA DENTAL CENTER PLLC
109 BUSHAWAY RD STE 300
WAYZATA, MN 55391-2079
Phone number: 952-475-0225
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Mailing Address
LAKE MINNETONKA DENTAL CENTER PLLC
109 BUSHAWAY RD STE 300
WAYZATA, MN 55391-2079
Phone number:
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