Organization
DOUGLAS J MCNAUGHT D D S P A
Active
Other names
Long Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS J. MCNAUGHT DDS (DOCTOR/OWNER)
(952) 473-7151
Entity
Organization
Contact information
Practice address
1870 W WAYZATA BLVD, LONG LAKE, MN 55356-9491
(952) 473-7151
(952) 475-1539
Mailing address
PO BOX 695, LONG LAKE, MN 55356-0695
(952) 473-7151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9985
MN
Other
Enumeration date
04/15/2008
Last updated
07/01/2008
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