| Pine Lakes Endodontics PA | |
|
13046 Falcon Dr Ste 2 Baxter MN 56425-4201 | |
| (217) 520-2397 | |
| Not Available |
| Full Name | Pine Lakes Endodontics PA |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 13046 Falcon Dr Ste 2, Baxter, Minnesota |
| Authorized Official Name and Position | Brock Aaron Droll (ENDODONTIST) |
| Authorized Official Contact | 2175202397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Lakes Endodontics PA 13046 Falcon Dr Ste 2 Baxter MN 56425-4201 | Pine Lakes Endodontics PA 13046 Falcon Dr Ste 2 Baxter MN 56425-4201 Ph: (217) 520-2397 |
| NPI Number | 1386305779 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386305779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (NU) | Primary |
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