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Organization
LAKE SUPERIOR COLLEGE DENTAL CLINIC
Active
Organization
LAKE SUPERIOR COLLEGE DENTAL CLINIC
Active
Other names
Lake Superior Dental Hygiene Lake Superior Community Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY A UPTON (DENTAL HYGIENE CLINIC COORDINATOR)
(218) 733-5939
Entity
Organization
Contact information
Practice address
2101 TRINITY ROAD, DULUTH, MN 55811-3349
(218) 733-5939
(218) 723-4921
Mailing address
2101 TRINITY ROAD, DULUTH, MN 55811-3349
(218) 733-5939
(218) 723-4921
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
MN
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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