| Manitou Dental Care Ltd | |
|
2189 3rd St White Bear Lake MN 55110-3214 | |
| (651) 429-9221 | |
| (651) 429-4320 |
| Full Name | Manitou Dental Care Ltd |
|---|---|
| Speciality | Dentist |
| Location | 2189 3rd St, White Bear Lake, Minnesota |
| Authorized Official Name and Position | Suzanne Marie Kappel-geib (OWNER/DENTIST) |
| Authorized Official Contact | 6514299221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manitou Dental Care Ltd 2189 3rd St White Bear Lake MN 55110-3214 Ph: (651) 429-9221 | Manitou Dental Care Ltd 2189 3rd St White Bear Lake MN 55110-3214 Ph: (651) 429-9221 |
| NPI Number | 1902234743 |
|---|---|
| Provider Enumeration Date | 10/14/2013 |
| Last Update Date | 10/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902234743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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