Round Lake Dental P.a.

NPI #1376676445 in Andover, Minnesota

Provider Information

NPI Number
1376676445
Entity Type
Organization
Organization Name
Round Lake Dental P.a.
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Mar 14, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
13841 ROUND LAKE BLVD NW
ZIP Code
55304-3664
Phone
(763) 427-0285

Authorized Official

Name
MR. THOMAS RICHARD SWENSON, DDS
Title
PRESIDENT
Phone
(763) 427-0285

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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