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Organization
MINNESOTA LAKES DENTAL, PLLC
Active
Organization
MINNESOTA LAKES DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL MORRIS DDS (OWNER/DENTIST)
(507) 282-4401
Entity
Organization
Contact information
Practice address
4270 MAINE AVE SE STE 200, ROCHESTER, MN 55904-6936
(507) 282-4401
(507) 282-4407
Mailing address
4270 MAINE AVE SE STE 200, ROCHESTER, MN 55904-6936
(507) 282-4401
(507) 282-4407
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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