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Contact Information

LAND OF LAKES ENDODONTICS PA
2850 CURVE CREST BLVD W STE 115
STILLWATER, MN55082-6101
 Phone: 651-439-8764
 Fax: 651-439-9660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for LAND OF LAKES ENDODONTICS PA · (Female)

NPI Number 1710108022
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2007
Last updated 02/16/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 11312
  • MN Other 237L1LA BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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