Forest Lake Endodontics
NPI #1871106393 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1871106393
- Entity Type
- Organization
- Organization Name
- Forest Lake Endodontics
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Aug 25, 2020
- Last Updated
- Sep 8, 2020
Practice Location
- Address
- 1420 LAKE ST S STE 200
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2713
- Phone
- (651) 464-9888
Authorized Official
- Name
- RENEE IRENE KLOSSNER
- Title
- OFFICE MANAGER
- Phone
- (651) 464-9888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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