Organization
LAKES DENTAL CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY EMERALD OLSON DDS (OWNER PARTNER)
(218) 829-4511
Entity
Organization
Contact information
Practice address
14213 GOLF COURSE DR, SUITE 100, BAXTER, MN 56425
(218) 829-4511
(218) 829-5483
Mailing address
14213 GOLF COURSE DR, SUITE 100, BAXTER, MN 56425
(218) 829-4511
(218) 829-5483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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