Organization
LAKE SUPERIOR COLLEGE DENTAL CLINIC
Active
Other names
Lake Superior Dental Hygiene Lake Superior Community Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY A UPTON (DENTAL HYGIENE CLINIC COORDINATOR)
(218) 733-5939
Entity
Organization
Contact information
Practice address
2101 TRINITY ROAD, DULUTH, MN 55811-3349
(218) 733-5939
(218) 723-4921
Mailing address
2101 TRINITY ROAD, DULUTH, MN 55811-3349
(218) 733-5939
(218) 723-4921
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
MN
Other
Enumeration date
04/30/2007
Last updated
08/22/2020
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