Dreamhaven Dental Sleep Medicine

NPI #1811327190 in Baxter, Minnesota

Provider Information

NPI Number: 1811327190
Entity Type: Organization
Organization Name: Dreamhaven Dental Sleep Medicine
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 22, 2013
Last Updated: Nov 22, 2013

Practice Location

Address: 13495 ELDER DR
Address 2: SUITE 100
City: Baxter
State: Minnesota
ZIP Code: 56425-8763
Phone: (218) 454-0523

Authorized Official

Name: DR. CLINTON LAWRENCE ROBERTS, DDS
Title: OWNER DENTIST
Phone: (218) 454-0523

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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