Individual
DR. LORRIS GALEN VATNSDAL II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
205A 2ND AVE NW, ROSEAU, MN 56751-1007
(218) 463-2100
(218) 463-3055
Mailing address
PO BOX 188, ROSEAU, MN 56751-0188
(218) 463-2100
(218) 463-3055
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8949
MN
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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