| Ltc Dental PC | |
|
2910 Minnehaha Curv Wayzata MN 55391-2528 | |
| (407) 375-3003 | |
| (800) 863-5373 |
| Full Name | Ltc Dental PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2910 Minnehaha Curv, Wayzata, Minnesota |
| Authorized Official Name and Position | Patrick Foy (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4073753003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ltc Dental PC 1257 Indiana Ave Winter Park FL 32789-4816 Ph: (407) 375-3003 | Ltc Dental PC 2910 Minnehaha Curv Wayzata MN 55391-2528 Ph: (407) 375-3003 |
| NPI Number | 1356077499 |
|---|---|
| Provider Enumeration Date | 07/30/2022 |
| Last Update Date | 07/30/2022 |
| Certification Date | 07/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356077499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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