Individual
ALAN S LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
8650 HUDSON BLVD N, 105, LAKE ELMO, MN 55042-9747
(651) 636-1072
Mailing address
2100 OTTER LAKE DR, WHITE BEAR LAKE, MN 55110-1064
(651) 762-5783
(651) 762-9248
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D10992
MN
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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