Elbow Lake Dentistry, Pllc

NPI #1740897156 in Elbow Lake, Minnesota

Provider Information

NPI Number
1740897156
Entity Type
Organization
Organization Name
Elbow Lake Dentistry, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 29, 2020
Last Updated
Sep 29, 2020

Practice Location

Address
18 W DIVISION ST
ZIP Code
56531-4136
Phone
(218) 685-4710

Authorized Official

Name
DR. BRADY ELMER WEISPFENNIG, DDS
Title
SOLE MEMBER
Phone
(320) 491-0300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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