NPI | 1770315889 |
---|---|
Doing Business As | CLEAR LAKES DENTAL |
Entity Type | Organization |
Authorized Contact | RAKSHYA SHRESTHA CEO/Owner 952-641-6228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-08-16 |
Last Update Date | 2025-04-29 |