| Lindstrom Family Dentistry Llc | |
|
30554 Park Street North Lindstrom MN 55045 | |
| (651) 257-4471 | |
| (651) 257-2017 |
| Full Name | Lindstrom Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30554 Park Street North, Lindstrom, Minnesota |
| Authorized Official Name and Position | Michael Allen Hursy (MANAGING MEMBER) |
| Authorized Official Contact | 6512574471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindstrom Family Dentistry Llc Po Box 705 30554 Park Street North Lindstrom MN 55045 Ph: (651) 257-4471 | Lindstrom Family Dentistry Llc 30554 Park Street North Lindstrom MN 55045 Ph: (651) 257-4471 |
| NPI Number | 1225112022 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225112022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8021 (Minnesota) | Primary |
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