G2 Dental

NPI #1790776144 in Forest Lake, Minnesota

Provider Information

NPI Number: 1790776144
Entity Type: Organization
Organization Name: G2 Dental
Primary Specialty: Dentist
Enumeration Date: Nov 3, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1068 LAKE ST S
Address 2: #209
City: Forest Lake
State: Minnesota
ZIP Code: 55025-2639
Phone: (651) 464-2248

Authorized Official

Name: MS. TRACEY M KOCH
Title: OFFICE MANAGER
Phone: (651) 464-2248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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