Organization
LINO LAKES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI JO DULIN RDS (OFFICE MANAGER)
(651) 786-7630
Entity
Organization
Contact information
Practice address
591 APOLLO DR, LINO LAKES, MN 55014-3005
(651) 786-7630
Mailing address
591 APOLLO DR, LINO LAKES, MN 55014-3005
(651) 786-7630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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