# ISLA PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Washington Square Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720621451
- **Authorized official:** TRACY ANDERSON (DIRECTOR)
- **Authorized official phone:** (651) 353-6652

## Contact information

- **Practice address:** 4754 WASHINGTON SQ, WHITE BEAR LAKE, MN 55110-3257
- **Practice address phone:** (651) 353-6652
- **Mailing address:** 7810 SAINT CROIX TRAIL LN S, HASTINGS, MN 55033-9737
- **Mailing address phone:** (651) 353-6652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 10/25/2019