GLACIER LAKE DENTAL P A

LAKEVILLE, MN
NPI1780235747
Entity TypeOrganization
Authorized ContactTRACY LU GRASDAL
President
952-486-2595
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2019-09-21
Last Update Date2019-09-21
Business Address
GLACIER LAKE DENTAL P A
10450 185TH ST W STE 500
LAKEVILLE, MN 55044-6690
Phone number: 952-435-9888
Mailing Address
GLACIER LAKE DENTAL P A
10450 185TH ST W STE 500
LAKEVILLE, MN 55044-6690
Phone number: 952-435-9888
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