Prior Lake
NPI #1083131643 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1083131643
- Entity Type
- Organization
- Organization Name
- Prior Lake
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 24, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 14120 COMMERCE AVE
- Address 2
- SUITE #300
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-5537
- Phone
- (952) 447-1080
Authorized Official
- Name
- DR. STEVEN MATTHEW SARLES, DDS
- Title
- DOCTOR
- Phone
- (952) 447-1080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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