Glacier Lake Dental P a
NPI #1780235747 in Lakeville, Minnesota
Provider Information
- NPI Number
- 1780235747
- Entity Type
- Organization
- Organization Name
- Glacier Lake Dental P a
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 21, 2019
- Last Updated
- Sep 21, 2019
Practice Location
Authorized Official
- Name
- DR. TRACY LU GRASDAL, DDS
- Title
- PRESIDENT
- Phone
- (952) 486-2595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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