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Round Lake Dental P.a.
Pediatric Dentist in Andover, Minnesota
NPI 1376676445

Round Lake Dental P.a. is a Pediatric Dentist based in Andover, MN and is specialized in Pediatric Dentistry. Round Lake Dental P.a. practices in Andover, MN. The NPI Number for Round Lake Dental P.a. is 1376676445 and holds a License No. D10339 (Minnesota).

The current practice location address for Round Lake Dental P.a. is 13841 Round Lake Blvd Nw, Andover, MN and can be reached out via phone at 763-427-0285 and via fax at 763-576-0156. You can also correspond with Round Lake Dental P.a. through the mailing address at 13841 ROUND LAKE BLVD NW, ANDOVER, MN - 55304-3664 (mailing address contact number: 763-427-0285).

Location: 13841 Round Lake Blvd Nw, Andover, MN, 55304-3664
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376676445
Provider Name
Round Lake Dental P.a.
Credential
Provider Entity Type
Organization
Address
13841 Round Lake Blvd Nw, Andover, MN, 55304-3664
Phone Number
763-427-0285
Fax Number
763-576-0156
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13841 Round Lake Blvd Nw
City
Andover
State
Minnesota
Zip
55304-3664
Phone Number
763-427-0285
Fax Number
763-576-0156
person
Provider Business Mailing Address Details
Address
13841 Round Lake Blvd Nw
City
Andover
State
Minnesota
Zip
55304-3664
Phone Number
763-427-0285
Fax Number
763-576-0156
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D10339 (Minnesota)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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