| Lake Sarah Dental Pllc | |
| 
					7500 State Highway 55 Suite 200 Greenfield MN 55373  | |
| (763) 575-8038 | |
| (763) 575-8039 | 
| Full Name | Lake Sarah Dental Pllc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 7500 State Highway 55, Greenfield, Minnesota | 
| Authorized Official Name and Position | Sarah Joanne Magnuson (OWNER) | 
| Authorized Official Contact | 6127187361 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lake Sarah Dental Pllc 7500 State Highway 55 Suite 200 Greenfield MN 55373 Ph: (763) 575-8038  | Lake Sarah Dental Pllc 7500 State Highway 55 Suite 200 Greenfield MN 55373 Ph: (763) 575-8038  | 
| NPI Number | 1598179939 | 
|---|---|
| Provider Enumeration Date | 06/13/2014 | 
| Last Update Date | 06/13/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598179939 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D12538 (Minnesota) | Primary |