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1730655242
ROUND LAKE FAMILY DENTISTRY, PLLC
ANDOVER, MN
NPI
1730655242
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Entity Type
Organization
Authorized Contact
PHILLIP ZHAN
Owner
612-308-9416
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
ROUND LAKE FAMILY DENTISTRY, PLLC
13841 ROUND LAKE BLVD NW
ANDOVER, MN 55304-3664
Phone number: 763-427-0285
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Mailing Address
ROUND LAKE FAMILY DENTISTRY, PLLC
7493 147TH ST W STE 100
APPLE VALLEY, MN 55124-7570
Phone number: 952-432-7145
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