Organization
CHAIN OF LAKES DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN MICHAEL SPODEN DDS (OWNER/DENTIST)
(320) 597-2453
Entity
Organization
Contact information
Practice address
34 MAIN ST E, RICHMOND, MN 56368-8238
(320) 597-2453
Mailing address
111 7TH AVE N, SARTELL, MN 56377-1858
(612) 805-9134
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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