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Organization

CHARYL WEINGARTEN, D.D.S., P.L.L.C

Active
Parent organization
LINO LAKES FAMILY DENTISTRY
Other names
Lino Lakes Family Dentistry
Organization subpart
Yes

Provider details

NPI number
Legal business name
LINO LAKES FAMILY DENTISTRY
Authorized official
CHARYL WEINGARTEN DDS (OWNER)
(218) 791-8563
Entity
Organization

Contact information

Practice address
591 APOLLO DR, LINO LAKES, MN 55014-3005
(651) 786-7630
Mailing address
591 APOLLO DR, LINO LAKES, MN 55014-3005
(651) 786-7630

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/12/2020
Last updated
03/12/2020
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