Organization
LIFT DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA ELIZABETH LEONETTE CODY DDS (DENTIST)
(651) 439-4945
Entity
Organization
Contact information
Practice address
124 2ND ST S STE 101, STILLWATER, MN 55082-5179
(651) 439-4945
Mailing address
225 2ND ST N, STILLWATER, MN 55082-5058
(651) 439-4945
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
03/01/2019
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