Organization
LESMEISTER DENTAL LLC
Active
Other names
Lesmeister Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA D NESVOLD (OFFICE MANAGER)
(218) 253-4204
Entity
Organization
Contact information
Practice address
105 INTERNATIONAL DRIVE, SUITE 110, RED LAKE FALLS, MN 56750-0236
(218) 256-4204
(218) 253-4205
Mailing address
105 INTERNATIONAL DRIVE, SUITE 110, PO BOX 236, RED LAKE FALLS, MN 56750-0236
(218) 256-4204
(218) 253-4205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12845
MN
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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