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Organization

LAKES DENTAL CARE PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY E OLSON (OWNER)
(218) 829-4511
Entity
Organization

Contact information

Practice address
31052 GOVERMENT DR, PEQUOT LAKES, MN 56472-1002
(218) 568-5011
(218) 568-6851
Mailing address
31052 GOVERMENT DR, P.O. BOX 426, PEQUOT LAKES, MN 56472-1002
(218) 568-5011
(218) 568-6851

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2717206
MN

Other

Enumeration date
03/28/2007
Last updated
08/22/2020
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