Lakes Dental Care Plc
NPI #1578682050 in Pequot Lakes, Minnesota
Provider Information
- NPI Number
- 1578682050
- Entity Type
- Organization
- Organization Name
- Lakes Dental Care Plc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 31052 GOVERMENT DR
- City
- Pequot Lakes
- State
- Minnesota
- ZIP Code
- 56472-1002
- Phone
- (218) 568-5011
Authorized Official
- Name
- DR. JEFFREY E OLSON
- Title
- OWNER
- Phone
- (218) 829-4511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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