| 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 |