Individual
DR. DANIEL RICHARD ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4700 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3336
(651) 762-7677
(651) 762-1861
Mailing address
14 PETERSON PL, NORTH OAKS, MN 55127-6201
(651) 484-5802
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10872
MN
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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