| Lesueur Family Dental | |
|
304 Valleygreen Square Lesueur MN 56058 | |
| (507) 665-6812 | |
| (507) 665-4127 |
| Full Name | Lesueur Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 304 Valleygreen Square, Lesueur, Minnesota |
| Authorized Official Name and Position | Trent Mitchel Anderson (OWNER) |
| Authorized Official Contact | 5076656812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lesueur Family Dental 304 Valleygreen Square Lesueur MN 56058 Ph: (507) 665-6812 | Lesueur Family Dental 304 Valleygreen Square Lesueur MN 56058 Ph: (507) 665-6812 |
| NPI Number | 1497975536 |
|---|---|
| Provider Enumeration Date | 04/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497975536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Valley Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 S 2nd St, Valley Dental Care, Lesueur, MN 56058 Phone: 507-665-2275 Fax: 507-665-6842 |