Lift Dental Pllc
NPI #1083178149 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1083178149
- Entity Type
- Organization
- Organization Name
- Lift Dental Pllc
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Jan 23, 2019
- Last Updated
- Mar 1, 2019
Practice Location
- Address
- 124 2ND ST S STE 101
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-5179
- Phone
- (651) 439-4945
Authorized Official
- Name
- DR. SARA ELIZABETH LEONETTE CODY, DDS
- Title
- DENTIST
- Phone
- (651) 439-4945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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