Lino Lakes Family Dentistry

NPI #1124262514 in Lino Lakes, Minnesota

Provider Information

NPI Number
1124262514
Entity Type
Organization
Organization Name
Lino Lakes Family Dentistry
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 29, 2009
Last Updated
Apr 29, 2009

Practice Location

Address
591 APOLLO DR
ZIP Code
55014-3005
Phone
(651) 786-7630

Authorized Official

Name
HEIDI JO DULIN, RDS
Title
OFFICE MANAGER
Phone
(651) 786-7630

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Individual Providers

Provider Name
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Organizations

Provider Name
Minnesota Dental Professionals, P.c.

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