Organization
LAKELAND SMILES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETHANY BAILLARGEON D.D.S. (DENTIST)
(218) 863-7511
Entity
Organization
Contact information
Practice address
22 5TH AVE NE, PELICAN RAPIDS, MN 56572-4126
(218) 863-7511
Mailing address
PO BOX 302, PELICAN RAPIDS, MN 56572-0302
(218) 863-7511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12224
MN
Other
Enumeration date
04/27/2016
Last updated
01/07/2022
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