Lakes Dental Assoc PA
NPI #1255490389 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1255490389
- Entity Type
- Organization
- Organization Name
- Lakes Dental Assoc PA
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 956 WEST BROADWAY
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025
- Phone
- (651) 464-7277
Authorized Official
- Name
- RODNEY A STRENSRUD, DDS
- Title
- OWNER DENTIST
- Phone
- (651) 257-3246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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