Minnesota Periodontal Associates, PA

NPI #1508300252 in White Bear Lake, Minnesota

Provider Information

NPI Number
1508300252
Entity Type
Organization
Organization Name
Minnesota Periodontal Associates, PA
Primary Specialty
Dentist - Periodontics
Enumeration Date
Dec 15, 2016
Last Updated
Dec 22, 2016

Practice Location

Address
4801 HWY 61 N.
Address 2
SUITE 300
ZIP Code
55110-2753
Phone
(651) 429-2299

Authorized Official

Name
DR. CONNIE A LEE, D.D.S., M.S.
Title
PERIODONTIST
Phone
(651) 429-2299

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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