institution
Fountain Lake Family Dental
Dental Clinic/Center in Albert Lea, Minnesota
NPI 1104435585

Fountain Lake Family Dental is a Dental Clinic/Center based in Albert Lea, MN and is specialized in Dental. Fountain Lake Family Dental practices in Albert Lea, MN. The NPI Number for Fountain Lake Family Dental is 1104435585 and holds a License No. (Minnesota).

The current practice location address for Fountain Lake Family Dental is 146 W Clark St, Albert Lea, MN and can be reached out via phone at 507-373-3323 and via fax at 507-373-4513.

Location: 146 W Clark St, Albert Lea, MN, 56007-2546
institution
Provider Profile Details
NPI Number
1104435585
Provider Name
Fountain Lake Family Dental
Credential
Provider Entity Type
Organization
Address
146 W Clark St, Albert Lea, MN, 56007-2546
Phone Number
507-373-3323
Fax Number
507-373-4513
Provider Enumeration Date
07/30/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D13630 01 MN MINNESOTA
institution
Provider Business Practice Location Address Details
Address
146 W Clark St
City
State
Zip
56007-2546
Phone Number
507-373-3323
Fax Number
507-373-4513
person
Provider Business Mailing Address Details
Address
146 W Clark St
City
State
Zip
56007-2546
Phone Number
507-373-3323
Fax Number
507-373-4513
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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