Organization
PRAIRIE LAKES FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI MARIE KNUDSON DENTAL ASSISTANT (FRONT DESK)
(507) 212-0002
Entity
Organization
Contact information
Practice address
212 3RD ST STE 5, TRACY, MN 56175-1267
(507) 212-0002
(507) 212-0020
Mailing address
212 3RD ST STE 5, TRACY, MN 56175-1267
(507) 212-0002
(507) 212-0050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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