| NPI | 1801065958 |
|---|---|
| Doing Business As | CENTRAL LAKES COLLEGE |
| Entity Type | Organization |
| Authorized Contact | LARRY LUNDBLAD President 218-855-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2022-07-21 |