Chain of Lakes Dental, Pllc

NPI #1730738295 in Richmond, Minnesota

Provider Information

NPI Number
1730738295
Entity Type
Organization
Organization Name
Chain of Lakes Dental, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 8, 2019
Last Updated
Sep 8, 2019

Practice Location

Address
34 MAIN ST E
ZIP Code
56368-8238
Phone
(320) 597-2453

Authorized Official

Name
DR. SHAWN MICHAEL SPODEN, DDS
Title
OWNER/DENTIST
Phone
(320) 597-2453

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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