Lake Area Dental
NPI #1265248173 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1265248173
- Entity Type
- Organization
- Organization Name
- Lake Area Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 5, 2024
- Last Updated
- Dec 5, 2024
Practice Location
- Address
- 4801 HIGHWAY 61 N STE 301
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-2753
- Phone
- (651) 762-8474
Authorized Official
- Name
- JORDAN DITTBERNER, DDS
- Title
- DENTIST
- Phone
- (651) 308-1177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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