Organization
PARK RAPIDS FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORA L NELSON DDS (OWNER/DENTIST)
(763) 639-1291
Entity
Organization
Contact information
Practice address
19033 US 71, PARK RAPIDS, MN 56470-3202
(218) 732-3291
(218) 237-2532
Mailing address
19201 EASTBAY DR, PARK RAPIDS, MN 56470-6219
(763) 639-1291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/17/2020
Last updated
04/21/2020
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