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Organization

DRS ERICKSON & LANDE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN P LANDE DDS (VICE PRESIDENT)
(612) 332-0559
Entity
Organization

Contact information

Practice address
825 SO 8TH ST, SUITE 1216, MINNEAPOLIS, MN 55404
(612) 332-0559
(612) 332-2554
Mailing address
825 SO 8TH ST, SUITE 1216, MINNEAPOLIS, MN 55404
(612) 332-0559
(612) 332-2554

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7072
MN
122300000X
Dentist
7744
MN
122300000X
Dentist
8119
MN

Other

Enumeration date
11/01/2006
Last updated
08/22/2020
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