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Borealis Dental Studio, P.a.

NPI #1922450634 in Lindstrom, Minnesota

Provider Information

NPI Number
1922450634
Entity Type
Organization
Organization Name
Borealis Dental Studio, P.a.
Primary Specialty
Dentist
Enumeration Date
Jul 6, 2016
Last Updated
Jul 6, 2016

Practice Location

Address
12745 N 1ST AVE
City
Lindstrom
State
Minnesota
ZIP Code
55045-9585
Phone
(651) 257-2720

Authorized Official

Name
BECKY GOOLSBY
Title
BUSINESS MANAGER
Phone
(405) 837-3159

Specialties & Taxonomy Codes

Specialty
Dentist

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