institution
Prior Lake
Dental Clinic/Center in Prior Lake, Minnesota
NPI 1083131643

Prior Lake is a Dental Clinic/Center based in Prior Lake, MN and is specialized in Dental. Prior Lake practices in Prior Lake, MN. The NPI Number for Prior Lake is 1083131643 and holds a License No. D13230 (Minnesota).

The current practice location address for Prior Lake is 14120 Commerce Ave, Prior Lake, MN and can be reached out via phone at 952-447-1080 and via fax at 952-447-0376.

Location: 14120 Commerce Ave, Prior Lake, MN, 55372-1503
institution
Provider Profile Details
NPI Number
1083131643
Provider Name
Prior Lake
Credential
Provider Entity Type
Organization
Address
14120 Commerce Ave, Prior Lake, MN, 55372-1503
Phone Number
952-447-1080
Fax Number
952-447-0376
Provider Enumeration Date
08/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14120 Commerce Ave
City
State
Zip
55372-5537
Phone Number
952-447-1080
Fax Number
952-447-0376
person
Provider Business Mailing Address Details
Address
14120 Commerce Ave
City
State
Zip
55372-5537
Phone Number
952-447-1080
Fax Number
952-447-0376
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D13230 (Minnesota)
Definition
Definition to come...
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