| La Belle Periodontics Inc | |
| 
					5901 Brooklyn Blvd #206 Brooklyn Cntr MN 55429-2533  | |
| (763) 535-1616 | |
| (763) 535-6687 | 
| Full Name | La Belle Periodontics Inc | 
|---|---|
| Speciality | Dentist | 
| Location | 5901 Brooklyn Blvd, Brooklyn Cntr, Minnesota | 
| Authorized Official Name and Position | Leilani L La Belle (PRESIDENT) | 
| Authorized Official Contact | 7635351616 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| La Belle Periodontics Inc 5901 Brooklyn Blvd #206 Brooklyn Cntr MN 55429-2533 Ph: (763) 535-1616  | La Belle Periodontics Inc 5901 Brooklyn Blvd #206 Brooklyn Cntr MN 55429-2533 Ph: (763) 535-1616  | 
| NPI Number | 1881754950 | 
|---|---|
| Provider Enumeration Date | 12/11/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881754950 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 9944 (Minnesota) | Primary |