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Organization
LAKE SARAH DENTAL PLLC
Active
Organization
LAKE SARAH DENTAL PLLC
Active
Other names
Lake Sarah Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JOANNE MAGNUSON DDS (OWNER)
(612) 718-7361
Entity
Organization
Contact information
Practice address
7500 STATE HIGHWAY 55, SUITE 200, GREENFIELD, MN 55373
(763) 575-8038
(763) 575-8039
Mailing address
7500 STATE HIGHWAY 55, SUITE 200, GREENFIELD, MN 55373
(763) 575-8038
(763) 575-8039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12538
MN
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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