Organization
CRYSTAL LAKE DENTAL CARE OF ROBBINSDALE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R GAASEDLEN DDS (OWNER)
(763) 588-8426
Entity
Organization
Contact information
Practice address
3925 37TH AVE N, ROBBINSDALE, MN 55422-2357
(763) 588-8426
(763) 588-0176
Mailing address
3925 37TH AVE N, ROBBINSDALE, MN 55422-2357
(763) 588-8426
(763) 588-0176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8650
MN
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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