Organization
BELLAND FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE BELLAND DDS (DENTIST/OWNER)
(612) 889-1334
Entity
Organization
Contact information
Practice address
4667 DAKOTA ST SE, PRIOR LAKE, MN 55372-1714
(952) 447-6054
Mailing address
4667 DAKOTA ST SE, PRIOR LAKE, MN 55372-1714
(952) 447-6054
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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