Lesueur Family Dental

NPI #1497975536 in Lesueur, Minnesota

Provider Information

NPI Number: 1497975536
Entity Type: Organization
Organization Name: Lesueur Family Dental
Primary Specialty: Dentist
Enumeration Date: Apr 30, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 304 VALLEYGREEN SQUARE
City: Lesueur
State: Minnesota
ZIP Code: 56058
Phone: (507) 665-6812

Authorized Official

Name: MR. TRENT MITCHEL ANDERSON, DDS
Title: OWNER
Phone: (507) 665-6812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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