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Jacob L. Barthold Dds, Pa
Dental Clinic/Center in Forest Lake, Minnesota
NPI 1851815310

Jacob L. Barthold Dds, Pa is a Dental Clinic/Center based in Redwood Falls, MN and is specialized in Dental. Jacob L. Barthold Dds, Pa practices in Forest Lake, MN. The NPI Number for Jacob L. Barthold Dds, Pa is 1851815310 and holds a License No. D13073 (Minnesota).

The current practice location address for Jacob L. Barthold Dds, Pa is 69 Lake St N Ste 100, Forest Lake, MN and can be reached out via phone at 763-746-6567.

Location: 69 Lake St N Ste 100, Forest Lake, MN, 56283-1621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851815310
Provider Name
Jacob L. Barthold Dds, Pa
Credential
Provider Entity Type
Organization
Address
69 Lake St N Ste 100, Forest Lake, MN, 56283-1621
Phone Number
763-746-6567
Fax Number
Provider Enumeration Date
07/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457613028 05 MN
institution
Provider Business Practice Location Address Details
Address
69 Lake St N Ste 100
City
Forest Lake
State
Minnesota
Zip
55025-2527
Phone Number
763-746-6567
Fax Number
person
Provider Business Mailing Address Details
Address
69 Lake St N Ste 100
City
Forest Lake
State
Minnesota
Zip
55025-2527
Phone Number
763-746-6567
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D13073 (Minnesota)
Definition
Definition to come...
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