Organization
LORRIS G. VATNSDAL, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRIS G. VATNSDAL D.D.S. (OWNER)
(218) 463-2100
Entity
Organization
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
D8949
MN
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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