Organization
LAKE SARAH DENTAL PLLC
Active
Other names
Lake Sarah Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JOANNE MAGNUSON DDS (OWNER)
(612) 718-7361
Entity
Organization
Contact information
Practice address
7500 STATE HIGHWAY 55, SUITE 200, GREENFIELD, MN 55373
(763) 575-8038
(763) 575-8039
Mailing address
7500 STATE HIGHWAY 55, SUITE 200, GREENFIELD, MN 55373
(763) 575-8038
(763) 575-8039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12538
MN
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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