Jacob L. Barthold Dds, PA
NPI #1851815310 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1851815310
- Entity Type
- Organization
- Organization Name
- Jacob L. Barthold Dds, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 26, 2017
- Last Updated
- Jul 26, 2017
Practice Location
- Address
- 69 LAKE ST N STE 100
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2527
- Phone
- (763) 746-6567
Authorized Official
- Name
- DR. JACOB LEE BARTHOLD, DDS
- Title
- PRESIDENT
- Phone
- (763) 746-6567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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