Organization
MAGNOLIA DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH LATTERELL DDS (PRESIDENT)
(763) 242-6618
Entity
Organization
Contact information
Practice address
6545 FRANCE AVE S STE 270, EDINA, MN 55435-2119
(952) 927-7744
Mailing address
401 N 2ND ST UNIT 410, MINNEAPOLIS, MN 55401-1587
(763) 242-6618
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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