City of Lakes Dental, P.a.

NPI #1124192208 in Minneapolis, Minnesota

Provider Information

NPI Number: 1124192208
Entity Type: Organization
Organization Name: City of Lakes Dental, P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5524 NICOLLET AVE
City: Minneapolis
State: Minnesota
ZIP Code: 55419-1930
Phone: (612) 823-1816

Authorized Official

Name: DR. HERBERT WILLIAM SCHULTE, D.D.S.
Title: PRESIDENT
Phone: (612) 823-1816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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