Isla Pllc
NPI #1720621451 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1720621451
- Entity Type
- Organization
- Organization Name
- Isla Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 25, 2019
- Last Updated
- Oct 25, 2019
Practice Location
- Address
- 4754 WASHINGTON SQ
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3257
- Phone
- (651) 353-6652
Authorized Official
- Name
- TRACY ANDERSON
- Title
- DIRECTOR
- Phone
- (651) 353-6652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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