LAKE SUPERIOR DENTAL ASSOCIATES NPI 1871672584

NPI Information

LAKE SUPERIOR DENTAL ASSOCIATES is a general practice dentist in Duluth, MN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LAKE SUPERIOR DENTAL ASSOCIATES NPI is 1871672584. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1225 E 1ST ST
DULUTH, MN
ZIP 55805-402
Phone: (218) 728-6445
Fax: (218) 724-7003

The provider's authorized official is Robert G Ryan .
The authorized official title is Partner and has the following contact phone number (218) 728-6445.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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