Center Lake Dental, PA
NPI #1871954651 in Center City, Minnesota
Provider Information
- NPI Number
- 1871954651
- Entity Type
- Organization
- Organization Name
- Center Lake Dental, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 8, 2016
- Last Updated
- Mar 8, 2016
Practice Location
- Address
- 420 GRAND AVE
- City
- Center City
- State
- Minnesota
- ZIP Code
- 55012-3553
- Phone
- (651) 257-1140
Authorized Official
- Name
- DR. GEOFFREY D ARCHIBALD, DDS
- Title
- OWNER
- Phone
- (651) 674-7096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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