Organization
TAXPAYER NAME: MORGANDIA D.C./DOING BUSINESS AS CITY IF LAKES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIMIE HOILAND DDS (DENTIST, OWNER)
(612) 823-1816
Entity
Organization
Contact information
Practice address
5524 NICOLLET AVE., MINNEAPOLIS, MN 55419
(612) 823-1816
Mailing address
5524 NICOLLET AVE., MINNEAPOLIS, MN 55419
(612) 823-1816
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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