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Organization
ISAACSON GENTLE DENTISTRY
Active
Organization
ISAACSON GENTLE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ISAACSON DDS (OWNER/DENTIST)
(651) 762-7677
Entity
Organization
Contact information
Practice address
4700 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3336
(651) 762-7677
Mailing address
4700 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3336
(651) 762-7677
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D10872
MN
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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