| 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 |