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Organization

GREAT LAKES PEDIATRIC DENTISTRY PLLC

Active
Other names
Lakes Area Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL TODD STEINMETZ DDS (OWNER)
(320) 766-0085
Entity
Organization

Contact information

Practice address
219 E LINCOLN AVE, FERGUS FALLS, MN 56537-2236
(320) 766-0085
Mailing address
15525 BARLEY RD NW, ROYALTON, MN 56373-8148
(320) 766-0085

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D13237
MN

Other

Enumeration date
04/04/2018
Last updated
04/04/2018
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