Organization
LAKES DENTAL ASSOC PA
Active
Other names
Lakes Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY A STRENSRUD DDS (OWNER DENTIST)
(651) 257-3246
Entity
Organization
Contact information
Practice address
956 WEST BROADWAY, FOREST LAKE, MN 55025
(651) 464-7277
(651) 464-6857
Mailing address
PO BOX 278, FOREST LAKE, MN 55025
(651) 257-3246
(651) 464-6857
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11000
MN
122300000X
Dentist
8907
MN
122300000X
Dentist
89338
MN
122300000X
Dentist
Primary
9362
MN
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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