| Crystal Lake Dental Care Of Robbinsdale, Pllc | |
|
3925 37th Ave N Robbinsdale MN 55422-2357 | |
| (763) 588-8426 | |
| (763) 588-0176 |
| Full Name | Crystal Lake Dental Care Of Robbinsdale, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3925 37th Ave N, Robbinsdale, Minnesota |
| Authorized Official Name and Position | James R Gaasedlen (OWNER) |
| Authorized Official Contact | 7635888426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lake Dental Care Of Robbinsdale, Pllc 3925 37th Ave N Robbinsdale MN 55422-2357 Ph: (763) 588-8426 | Crystal Lake Dental Care Of Robbinsdale, Pllc 3925 37th Ave N Robbinsdale MN 55422-2357 Ph: (763) 588-8426 |
| NPI Number | 1619141942 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619141942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D8650 (Minnesota) | Primary |
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